Desert Life Primary Care Llc

LBN: Desert Life Primary Care Llc
Desert Life Primary Care Llc is an health care organization with primary practice located at 3035 S Ellsworth Rd Ste 121 , Mesa AZ 85212-2137. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Desert Life Primary Care Llc can be contacted via phone (480) 280-7229, or through Woodham, John via phone (760) 464-4944.

Contact Information

Primary practice address
3035 S Ellsworth Rd Ste 121 Mesa AZ 85212-2137
Phone: (480) 280-7229
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Woodham, John
Phone: (760) 464-4944

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1649943655
LBN Legal business name Desert Life Primary Care Llc
DBA Doing business as
Authorized official Woodham, John
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2021
Last updated Nov 17th, 2021 - about 4 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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