Fala Medical Clinic Pllc
LBN: Fala Medical Clinic Pllc
Fala Medical Clinic Pllc is an health care organization with primary practice located at 14749 W Mountain View Blvd Ste 138 , Surprise AZ 85374-2704. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Fala Medical Clinic Pllc can be contacted via phone (623) 738-0440, or through Mirzakhel, Freschta via phone (480) 258-8264.
Contact Information
Primary practice address
14749 W Mountain View Blvd Ste 138
Surprise AZ 85374-2704
Phone: (623) 738-0440
Fax: (480) 374-8051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1972134054 |
|---|---|
| LBN Legal business name | Fala Medical Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Mirzakhel, Freschta |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 28th, 2020 |
| Last updated | May 8th, 2023 - about 3 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 | 1972134054 | NPPES |
| Arizona | MEDICAID | 546663 |
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