OBL NPI 1508430661

NPI Information

  • NPI: 1508430661
  • Provider Name: OBL
  • Classification: Integrative Medicine - 202D00000X
  • Entity Type: Organization
  • Address: 14804 N CAVE CREEK RD STE 200
    PHOENIX, AZ
    ZIP 85032
  • Phone: (480) 240-5613

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NPI Details

OBL is an integrative medicine in Phoenix, AZ. The provider is a physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing. OBL NPI is 1508430661. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14804 N CAVE CREEK RD STE 200
PHOENIX, AZ
ZIP 85032-945
Phone: (480) 240-5613
Fax: (480) 205-1063

The provider's authorized official is Kiup Kim .
The authorized official title is Founder / Ceo and has the following contact phone number (480) 788-5621.

The enumeration date for this NPI number is 5/13/2021 and was last updated on 5/4/2023.

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
1207Q00000XFamily MedicineNo
2208600000XSurgeryNo
3251S00000XCommunity/Behavioral HealthNo
4202D00000XIntegrative MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
192926MEDICAIDARIZONA

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

NPI Synchronization or Removal

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