National Provider Identifier Database

MMGL LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MMGL, LLC
2175 N. ALMA SCHOOL RD.
SUITE A- 104
CHANDLER, AZ85224
Phone: 480-275-4415
Fax: 480-275-4577
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MMGL, LLC

NPI Number 1093984171
Legal business name
LBN
MMGL, LLC
Authorized official MARIA GONZALEZ-LANDESTOY - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/22/2008
Last updated 02/19/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 29719
  • AZ Medicaid: 632697
  • AZ Other: 0744170 AZ BC/BS
  • AZ Other: Z78260 MEDICARE GROUP NUMBER

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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