Canyon Pediatrics, Inc

LBN: Canyon Pediatrics, Inc
Canyon Pediatrics, Inc is an health care organization with primary practice located at 2451 E Baseline Rd Ste 200 , Gilbert AZ 85234-2405. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Canyon Pediatrics, Inc can be contacted via phone (480) 776-7155, or through Dominguez, Irma J via phone (480) 507-2199.

Contact Information

Primary practice address
2451 E Baseline Rd Ste 200 Gilbert AZ 85234-2405
Phone: (480) 776-7155
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dominguez, Irma J
Phone: (480) 507-2199

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1053176677
LBN Legal business name Canyon Pediatrics, Inc
DBA Doing business as
Authorized official Dominguez, Irma J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2024
Last updated Feb 14th, 2024 - about 2 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 1053176677 NPPES
Arizona MEDICAID 053504

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