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Contact Information

YUMA KIDS CLINIC, PLLC
2851 S AVE B STE 2951
YUMA, AZ85364
 Phone: 928-783-1222
 Fax: 928-783-1444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for YUMA KIDS CLINIC, PLLC

NPI # 1336471705
LBN Legal business name YUMA KIDS CLINIC, PLLC
Authorized official SAAD AL ALOU - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/09/2010
Last updated 10/21/2014 - About 12 years ago
Identifiers
AZ License # 42670
AZ Medicaid 487987
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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