Southwest Diabetes Center Pllc

LBN: Southwest Diabetes Center Pllc
Southwest Diabetes Center Pllc is an health care organization with primary practice located at 3800 W 24Th St 1, Yuma AZ 85364-6298. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Southwest Diabetes Center Pllc can be contacted via phone (928) 344-6450, or through Penaherrera, Sergio via phone (928) 344-6450.

Contact Information

Primary practice address
3800 W 24Th St 1 Yuma AZ 85364-6298
Phone: (928) 344-6450
Fax: (928) 344-6480
Website:
Map and Directions
Authorized official contact:
Name: Penaherrera, Sergio Doctor of Medicine (MD)
Phone: (928) 344-6450

Health care specialties

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

Profile Details

NPI number 1881772317
LBN Legal business name Southwest Diabetes Center Pllc
DBA Doing business as
Authorized official Penaherrera, Sergio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 15th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881772317 NPPES
Arizona MEDICAID 167090003

Popular Providers