Estrella Pediatrics P.C.

LBN: Estrella Pediatrics P.C.
Estrella Pediatrics P.C. is an health care organization with primary practice located at 9520 W Palm Ln Ste 100 , Phoenix AZ 85037-4403. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Estrella Pediatrics P.C. can be contacted via phone (623) 388-3216, or through Bennett, Matthew E via phone (623) 388-3216.

Contact Information

Primary practice address
9520 W Palm Ln Ste 100 Phoenix AZ 85037-4403
Phone: (623) 388-3216
Fax: (623) 388-4902
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Matthew E Doctor of Medicine (MD)
Phone: (623) 388-3216

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1578504940
LBN Legal business name Estrella Pediatrics P.C.
DBA Doing business as
Authorized official Bennett, Matthew E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Apr 1st, 2022 - 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 1578504940 NPPES
Arizona MEDICAID 628133

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