Arizona Oculofacial Plastic Orbit And Cosmetic Surgery, Llc

LBN: Arizona Oculofacial Plastic Orbit And Cosmetic Surgery, Llc
Arizona Oculofacial Plastic Orbit And Cosmetic Surgery, Llc is an health care organization with primary practice located at 1055 S Stapley Dr , Mesa AZ 85204-5013. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ophthalmologic Surgery, which is considered as the primary health care specialty. Arizona Oculofacial Plastic Orbit And Cosmetic Surgery, Llc can be contacted via phone (480) 892-8400, or through Soto, David via phone (480) 822-6230.

Contact Information

Primary practice address
1055 S Stapley Dr Mesa AZ 85204-5013
Phone: (480) 892-8400
Fax: (480) 892-1889
Website:
Map and Directions
Authorized official contact:
Name: Soto, David
Phone: (480) 822-6230

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X

Profile Details

NPI number 1013481977
LBN Legal business name Arizona Oculofacial Plastic Orbit And Cosmetic Surgery, Llc
DBA Doing business as
Authorized official Soto, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2019
Last updated Jan 14th, 2019 - about 5 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 1013481977 NPPES
Arizona MEDICAID 247118

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