SANDLOT PEDIATRICS & YOUNG ADULTS LLC NPI 1285957134

NPI Details

SANDLOT PEDIATRICS & YOUNG ADULTS, LLC is a pediatrics in Tempe, AZ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SANDLOT PEDIATRICS & YOUNG ADULTS, LLC NPI is 1285957134. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2600 E SOUTHERN AVE
BLDG H
TEMPE, AZ
ZIP 85282-610
Phone: (480) 699-7248
Fax: (480) 664-1961

The provider's authorized official is Nicolas Antonio Gonzalez .
The authorized official title is Physician and has the following contact phone number (480) 699-7248.

The CLIA number assigned to this NPI record is 03D2010439 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/8/2010 and was last updated on 9/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: