Organization Name: | UNITED HEALTHY PERMANENTE, INC. |
NPI Number: | 1003277070 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VARDAN MURADYAN (CEO) |
Mailing Address: | 13760 N 93rd Ave Suite 105b Peoria |
State: | AZ US |
Postal Code: | 853814201 |
Phone Number: | 8444000007 |
Fax Number: | 8442151242 |
NPI Enumeration Date: | 03/17/2016 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HSPC6899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |