Organization Name: | DESERT HEART CENTER LTD |
NPI Number: | 1225089014 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYDIA GALLEGOS (OFFICE MANAGER) |
Mailing Address: | 3815 E Bell Road Suite # 3400 Phoenix |
State: | AZ US |
Postal Code: | 850322159 |
Phone Number: | 6029712761 |
Fax Number: | 6029171529 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 07/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |