Takayama 90 Med Pllc
LBN: Takayama 90 Med Pllc
Takayama 90 Med Pllc is an health care organization with primary practice located at 14848 N 15Th Dr , Phoenix AZ 85023-5181. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Takayama 90 Med Pllc can be contacted via phone (214) 615-5168, or through Gross, Melanie via phone (214) 615-5168.
Contact Information
Primary practice address
14848 N 15Th Dr
Phoenix AZ 85023-5181
Phone: (214) 615-5168
Fax: (888) 526-9542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 41788 | Arizona |
Profile Details
| NPI number | 1477976546 |
|---|---|
| LBN Legal business name | Takayama 90 Med Pllc |
| DBA Doing business as | |
| Authorized official | Gross, Melanie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 27th, 2014 |
| Last updated | Jan 27th, 2014 - about 12 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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