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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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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.