ANGEL CLINIC LLC NPI 1386088904

NPI Information

  • NPI: 1386088904
  • Provider Name: ANGEL CLINIC LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Doing Business As: ANGEL CLINIC 2U
  • Address: 4515 S MCCLINTOCK DR
    #120
    TEMPE, AZ
    ZIP 85282
  • Phone: (602) 852-0200

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NPI Details

ANGEL CLINIC LLC is a health service clinic center in Tempe, AZ. ANGEL CLINIC LLC NPI is 1386088904. The provider is registered as an organization entity type.
The provider Is Doing Business As Angel Clinic 2u.

The provider's business location address is:

4515 S MCCLINTOCK DR
#120
TEMPE, AZ
ZIP 85282-376
Phone: (602) 852-0200
Fax: (602) 852-0381

The provider's authorized official is Murali Talluri .
The authorized official title is Owner and has the following contact phone number (602) 852-0200.

The enumeration date for this NPI number is 4/25/2013 and was last updated on 5/8/2013.

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 License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyARIZONANo
2261QH0100XClinic/CenterHealth ServiceARIZONAYes

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: 11/21/2025

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