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Contact Information

CHRISTIAN CARE MEDICAL FOUNDATION
5418 E SKYLINE DR
SAN TAN VALLEY, AZ85140-9000
 Phone: 480-776-9417
 Fax: 480-907-2110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Health Educator

174H00000X
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTIAN CARE MEDICAL FOUNDATION

NPI Number 1548830789
LBN Legal business name CHRISTIAN CARE MEDICAL FOUNDATION
Authorized official HUMBERTO INZUNZA - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/29/2021
Last updated 01/11/2023 - About 3 years ago
Identifiers
AZ Medicaid 254343
AZ Other 1952532988 SUNIL R KURUP MD NPI
CA Other 1528356441 HUMBERTO R INZUNZA PA-C NPI
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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