| Roya Health, Llc | |
|
825 W Southern Ave Phoenix AZ 85041-4717 | |
| (480) 300-4741 | |
| Not Available |
| Full Name | Roya Health, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 825 W Southern Ave, Phoenix, Arizona |
| Authorized Official Name and Position | John Mcneal (MANAGER) |
| Authorized Official Contact | 6786423532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roya Health, Llc 777 Sw 37th Ave Ste 510 Miami FL 33135-4128 Ph: (678) 642-3532 | Roya Health, Llc 825 W Southern Ave Phoenix AZ 85041-4717 Ph: (480) 300-4741 |
| NPI Number | 1396453916 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 08/01/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 3476907312 |
|---|---|
| Medicare Enrollment ID | O20230927001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396453916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Darwyn B Chern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629008735 PECOS PAC ID: 2466411442 Enrollment ID: I20100122000651 |
| Provider Name | Martin Ngu Kwale Pong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245935204 PECOS PAC ID: 3476911942 Enrollment ID: I20230615002989 |
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