Estrella Internal Medicine And Pediatrics Pc

LBN: Estrella Internal Medicine And Pediatrics Pc
Estrella Internal Medicine And Pediatrics Pc is an health care organization with primary practice located at 14541 W Indian School Road Ste 600, Goodyear AZ 85338-9243. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Estrella Internal Medicine And Pediatrics Pc can be contacted via phone (623) 535-5599, or through Johnson, Kent M via phone (623) 535-5599.

Contact Information

Primary practice address
14541 W Indian School Road Ste 600 Goodyear AZ 85338-9243
Phone: (623) 535-5599
Fax: (623) 535-4696
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Kent M Doctor of Medicine (MD)
Phone: (623) 535-5599

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1669426565
LBN Legal business name Estrella Internal Medicine And Pediatrics Pc
DBA Doing business as
Authorized official Johnson, Kent M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Nov 13th, 2008 - about 17 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 1669426565 NPPES
Arizona MEDICAID 332481

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