REDONDO HEALTH NPI 1376163824

NPI Information

NPI: 1376163824
Provider Name: REDONDO HEALTH
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
822 W EARLL DR
PHOENIX, AZ
ZIP 85013
Phone: (602) 524-7684
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REDONDO HEALTH is a primary care clinic center in Phoenix, AZ. REDONDO HEALTH NPI is 1376163824. The provider is registered as an organization entity type.

The provider's business location address is:

822 W EARLL DR
PHOENIX, AZ
ZIP 85013-022
Phone: (602) 524-7684

The provider's authorized official is Emmitt Michael Thompson .
The authorized official title is Chief Medical Officer and has the following contact phone number (602) 524-7684.

The enumeration date for this NPI number is 4/24/2020 and was last updated on 5/22/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251E00000X	Home Health		No
2	261QM1300X	Clinic/Center	Multi-Specialty	No
3	261QP2400X	Clinic/Center	Prison Health	No
4	3336C0002X	Pharmacy	Clinic Pharmacy	No
5	261QP2300X	Clinic/Center	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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