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
Fax: (623) 931-1099
Website:
Authorized official contact:
Name: Decardenas, Jannet

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265692792 NPPES
Arizona MEDICAID 000083
Arizona MEDICAID 560337
Arizona MEDICAID 587766
Arizona MEDICAID 173414
Arizona MEDICAID 616245

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