Gaia Virtual Medicine. Llc

LBN: Gaia Virtual Medicine. Llc
Gaia Virtual Medicine. Llc is an health care organization with primary practice located at 4494 W Peoria Ave #115A Suite 8, Glendale AZ 85302. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Family Medicine, Agencies / In Home Supportive Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Gaia Virtual Medicine. Llc can be contacted via phone (602) 626-4473, or through Shen, Keqiang via phone (480) 876-4013.

Contact Information

Primary practice address
4494 W Peoria Ave #115A Suite 8 Glendale AZ 85302
Phone: (602) 626-4473
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shen, Keqiang Family Nurse Practitioner (FNP)
Phone: (480) 876-4013

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1730800475
LBN Legal business name Gaia Virtual Medicine. Llc
DBA Doing business as
Authorized official Shen, Keqiang Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2022
Last updated May 20th, 2025 - about last year

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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