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Contact Information

OCOTILLO MEDICAL GROUP LLC
2815 E. OCOTILLO RD
#4
CHANDLER, AZ85233
 Phone: 480-926-7800
 Fax: 480-926-2260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Chiropractor

111N00000X 35 Chiropractic
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for OCOTILLO MEDICAL GROUP LLC

NPI Number 1538692470
LBN Legal business name OCOTILLO MEDICAL GROUP LLC
Authorized official RADMAN RAHIMINEJAD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/07/2017
Last updated 10/11/2023 - About 3 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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