Arizona Heart Doctor

LBN: Arizona Heart Doctor
Arizona Heart Doctor is an health care organization with primary practice located at 2045 S Vineyard Ste 119 , Mesa AZ 85210-6889. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Arizona Heart Doctor can be contacted via phone (480) 300-4646, or through Alejo, Crystal via phone (480) 739-2014.

Contact Information

Primary practice address
2045 S Vineyard Ste 119 Mesa AZ 85210-6889
Phone: (480) 300-4646
Fax: (480) 300-4647
Website:
Map and Directions
Authorized official contact:
Name: Alejo, Crystal
Phone: (480) 739-2014

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1144569153
LBN Legal business name Arizona Heart Doctor
DBA Doing business as
Authorized official Alejo, Crystal
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2013
Last updated Apr 9th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144569153 NPPES
Arizona MEDICAID 609549

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