| Pj Health Llc | |
|
14820 N Cave Creek Rd Ste 2 Phoenix AZ 85032-4951 | |
| (833) 242-0100 | |
| Not Available |
| Full Name | Pj Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14820 N Cave Creek Rd Ste 2, Phoenix, Arizona |
| Authorized Official Name and Position | Paola Rivera (OWNER) |
| Authorized Official Contact | 6238452528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pj Health Llc 25716 N Sandstone Way Surprise AZ 85387-6839 Ph: (623) 845-2528 | Pj Health Llc 14820 N Cave Creek Rd Ste 2 Phoenix AZ 85032-4951 Ph: (833) 242-0100 |
| NPI Number | 1700664711 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Medicare PECOS PAC ID | 2163870932 |
|---|---|
| Medicare Enrollment ID | O20231205001188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700664711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Lisa Ghosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578511150 PECOS PAC ID: 7911983655 Enrollment ID: I20240113000390 |
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