Five Star Medical Clinic
LBN: Mmgl, Llc
Five Star Medical Clinic is an health care organization with primary practice located at 2175 N. Alma School Rd. Suite A- 104, Chandler AZ 85224. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty.
Mmgl, Llc can be contacted via phone (480) 275-4415, or through Gonzalez-Landestoy, Maria Manuela via phone (480) 275-4415.
Contact Information
Primary practice address
2175 N. Alma School Rd. Suite A- 104
Chandler AZ 85224
Phone: (480) 275-4415
Fax: (480) 275-4577
Website:
Authorized official contact:
Name: Gonzalez-Landestoy, Maria Manuela Doctor of Medicine (MD)
Phone: (480) 275-4415
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 29719 | Arizona |
Profile Details
| NPI number | 1093984171 |
|---|---|
| LBN Legal business name | Mmgl, Llc |
| DBA Doing business as | Five Star Medical Clinic |
| Authorized official | Gonzalez-Landestoy, Maria Manuela Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2008 |
| Last updated | Feb 19th, 2020 - about 5 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 | 1093984171 | NPPES |
| Arizona | Other | 0744170 | AZ BC/BS |
| Arizona | Other | Z78260 | AZ BC/BS |
| Arizona | MEDICAID | 632697 | AZ BC/BS |
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