# CHOLLA MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154443422
- **Authorized official:** RALPH FLORES (CEO)
- **Authorized official phone:** (480) 298-9951

## Contact information

- **Practice address:** 10631 S 51ST ST STE 8, PHOENIX, AZ 85044-5225
- **Practice address phone:** (480) 298-9951
- **Practice address fax:** (866) 246-5494
- **Mailing address:** 10631 S 51ST ST STE 8, PHOENIX, AZ 85044-5225
- **Mailing address phone:** (480) 298-9951
- **Mailing address fax:** (866) 246-5494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 19237 | AZ | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 04/27/2023