GAIA VIRTUAL MEDICINE. LLC

GLENDALE, AZ
NPI1730800475
Entity TypeOrganization
Authorized ContactKEQIANG SHEN
CEO
480-876-4013
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies103T00000X Psychologist
253Z00000X In Home Supportive Care
Enumeration Date2022-09-12
Last Update Date2025-05-20
Business Address
GAIA VIRTUAL MEDICINE. LLC
4494 W PEORIA AVE #115A SUITE 8
GLENDALE, AZ 85302
Phone number: 602-626-4473
Mailing Address
GAIA VIRTUAL MEDICINE. LLC
28913 N 23RD DR
PHOENIX, AZ 85085-0715
Phone number: 602-626-4473