| Arizona Essential Holistic Care | |
|
5700 W Olive Ave Ste 102 Glendale AZ 85302 | |
| (623) 738-6062 | |
| (602) 354-9462 |
| Full Name | Arizona Essential Holistic Care |
|---|---|
| Speciality | Family Medicine |
| Location | 5700 W Olive Ave Ste 102, Glendale, Arizona |
| Authorized Official Name and Position | Alodia Banuelos Domingo (PROVIDER/OWNER) |
| Authorized Official Contact | 6237386062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Essential Holistic Care 5700 W Olive Ave Ste 102 Glendale AZ 85302-3147 Ph: (602) 738-6062 | Arizona Essential Holistic Care 5700 W Olive Ave Ste 102 Glendale AZ 85302 Ph: (623) 738-6062 |
| NPI Number | 1497246482 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 11/25/2019 |
| Medicare PECOS PAC ID | 6002160256 |
|---|---|
| Medicare Enrollment ID | O20181107001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497246482 | NPI | - | NPPES |
| 811065660 | Other | AZ | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AP5625 (Arizona) | Primary |
| Provider Name | Alodia Banuelos Domingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043635162 PECOS PAC ID: 1951627975 Enrollment ID: I20150310000734 |
Endocrinology, Diabetes, And Thyroid Center Of Arizona Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20100 N 51st Ave, Suite F-635, Glendale, AZ 85308 Phone: 623-266-7858 Fax: 623-444-9810 | |
Harbor Pointe Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5859 W Talavi Blvd, Suite 165, Glendale, AZ 85306 Phone: 602-548-7800 Fax: 602-548-0006 | |
William E. Zachow D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7802 N 43rd Ave, Suite # 5, Glendale, AZ 85301 Phone: 602-790-4221 | |
Arrowhead Health Center & Spa, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17100 W 67th Ave, 300, Glendale, AZ 85308 Phone: 818-458-2587 | |
Safety One Medical Transportation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8528 N 43rd Dr, Glendale, AZ 85302 Phone: 623-217-1559 | |
Sun Valley Geriatric Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6740 W Deer Valley Rd, Suite D 107, Glendale, AZ 85310 Phone: 623-734-7414 | |
Woods Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20652 N 53rd Ave, Glendale, AZ 85308 Phone: 262-383-5517 Fax: 920-268-4285 |