| Clinica Hispana Of West Valley | |
|
6524 W Indian School Rd # C Phoenix AZ 85033-3329 | |
| (623) 247-7409 | |
| Not Available |
| Full Name | Clinica Hispana Of West Valley |
|---|---|
| Speciality | Clinic/center |
| Location | 6524 W Indian School Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Perminder Vaid (MANAGER) |
| Authorized Official Contact | 6232477409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Hispana Of West Valley 6524 W Indian School Rd # C Phoenix AZ 85033-3329 Ph: (623) 247-7409 | Clinica Hispana Of West Valley 6524 W Indian School Rd # C Phoenix AZ 85033-3329 Ph: (623) 247-7409 |
| NPI Number | 1285064469 |
|---|---|
| Provider Enumeration Date | 11/25/2013 |
| Last Update Date | 11/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285064469 | NPI | - | NPPES |
| 938186 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 28603 (Arizona) | Primary |
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