ELITE INTEGRATIVE GROUP PLLC; NPI #1003771833

Contact Information

ELITE INTEGRATIVE GROUP PLLC

5422 W THUNDERBIRD RD # 202
GLENDALE, AZ 85306-4700

Phone: 646-752-4685
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Adult Medicine	207QA0505X	08	Physician/Family Practice
Integrative Medicine	202D00000X

Indicates primary specialty

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NPI Profile & details for ELITE INTEGRATIVE GROUP PLLC

NPI #	`1003771833`
LBN Legal business name	ELITE INTEGRATIVE GROUP PLLC
Authorized official	ELA SUYUNOVA - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/23/2025
Last updated	12/23/2025 - About 5 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ELITE INTEGRATIVE GROUP PLLC

Contact Information

Specialty

Adult Medicine

Integrative Medicine

NPI Profile & details for ELITE INTEGRATIVE GROUP PLLC

Reviews for ELITE INTEGRATIVE GROUP PLLC