National Provider Identifier Database

ANGEL CLINIC LLC
Health Service


Contact Information

ANGEL CLINIC LLC
4515 S MCCLINTOCK DR
#120
TEMPE, AZ85282-7376
Phone: 602-852-0200
Fax: 602-852-0381
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for ANGEL CLINIC LLC

NPI Number 1386088904
Legal business name
LBN
ANGEL CLINIC LLC
Authorized official MURALI TALLURI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/25/2013
Last updated 05/08/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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