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Contact Information

ESTRELLA FAMILY MEDICAL, LLC.
750 N. ESTRELLA PARKWAY
SUITE 20
GOODYEAR, AZ85338
 Phone: 623-298-4642
 Fax: 623-925-9193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ESTRELLA FAMILY MEDICAL, LLC.

NPI Number 1669593398
LBN Legal business name ESTRELLA FAMILY MEDICAL, LLC.
Authorized official BERNARD GOODMAN - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2007
Last updated 02/08/2012 - About 14 years 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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