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FAMILY HEALTH CENTER OF EAST VALLEY PLLC NPI 1699945675


NPI Information

NPI: 1699945675
Provider Name: FAMILY HEALTH CENTER OF EAST VALLEY PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D0972797

Address:
6952 E BROADWAY RD
SUITE 101
MESA, AZ
ZIP 85208
Phone: (480) 325-0905
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FAMILY HEALTH CENTER OF EAST VALLEY PLLC is a family medicine in Mesa, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY HEALTH CENTER OF EAST VALLEY PLLC NPI is 1699945675. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6952 E BROADWAY RD
SUITE 101
MESA, AZ
ZIP 85208-974
Phone: (480) 325-0905
Fax: (480) 325-6661

The provider's authorized official is Benedict Bognot Dayrit .
The authorized official title is Owner and has the following contact phone number (480) 325-0905.

The CLIA number assigned to this NPI record is 03D0972797 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 4/4/2008.


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 Medicine26127ARIZONAYes

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: 11/14/2023

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.