| NPI | 1184234791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALLIN MARTIROSSIAN CEO/Pa C 623-760-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 251F00000X Home Infusion | |
| 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |