Clinica Dr Alfonso Salas Pc
LBN: Clinica Dr Alfonso Salas Pc
Clinica Dr Alfonso Salas Pc is an health care organization with primary practice located at 7734 N 59Th Ave , Glendale AZ 85301-7816. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Clinica Dr Alfonso Salas Pc can be contacted via phone (623) 931-2444, or through Decardenas, Jannet via phone (480) 897-1175.
Contact Information
Primary practice address
7734 N 59Th Ave
Glendale AZ 85301-7816
Phone: (623) 931-2444
Fax: (623) 931-1099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 29615 | Arizona |
Profile Details
| NPI number | 1265692792 |
|---|---|
| LBN Legal business name | Clinica Dr Alfonso Salas Pc |
| DBA Doing business as | |
| Authorized official | Decardenas, Jannet |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Sep 1st, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265692792 | NPPES |
| Arizona | MEDICAID | 000083 | |
| Arizona | MEDICAID | 560337 | |
| Arizona | MEDICAID | 587766 | |
| Arizona | MEDICAID | 173414 | |
| Arizona | MEDICAID | 616245 |
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