# DESERT RIDGE FACILITY LLC

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

## Provider details

- **NPI number:** 1194214809
- **Authorized official:** RADMAN RAHIMINEJAD (OWNER)
- **Authorized official phone:** (480) 926-7800

## Contact information

- **Practice address:** 21001 N TATUM BLVD STE 78-1640, PHOENIX, AZ 85050-5244
- **Practice address phone:** (480) 926-7800
- **Practice address fax:** (480) 926-2260
- **Mailing address:** 2250 E GERMANN RD STE 8, CHANDLER, AZ 85286-1575
- **Mailing address phone:** (480) 926-7800
- **Mailing address fax:** (480) 926-2260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2018
- **Last updated:** 08/19/2021