# SURPRISE HEALTH CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optum Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467563718
- **Authorized official:** EMILY CASTILLO (REGIONAL MANAGER)
- **Authorized official phone:** (702) 480-2550

## Contact information

- **Practice address:** 14973 W BELL RD, \#100, SURPRISE, AZ 85374-3202
- **Practice address phone:** (623) 815-2900
- **Practice address fax:** (623) 583-1319
- **Mailing address:** 16435 N SCOTTSDALE RD STE 400, SCOTTSDALE, AZ 85254-1745
- **Mailing address phone:** (602) 675-9005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 09/02/2023