# VALLEYSIDE MOBILE MEDICINE INC

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

## Provider details

- **NPI number:** 1649922196
- **Authorized official:** MARY TOVMASYAN NP (ADMINISTRATOR)
- **Authorized official phone:** (602) 600-8944

## Contact information

- **Practice address:** 9200 E RAINTREE DR STE 100, SCOTTSDALE, AZ 85260-7308
- **Practice address phone:** (602) 600-8944
- **Practice address fax:** (602) 865-7163
- **Mailing address:** 21061 N 78TH LN, PEORIA, AZ 85382-3353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/25/2022
- **Last updated:** 04/22/2026