# DESERT VIEW MEDICAL CENTER AND PEDIATRICS, CORP

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

## Provider details

- **NPI number:** 1790183564
- **Authorized official:** MRS. MIRTA C DALOTTO (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (602) 569-5437

## Contact information

- **Practice address:** 3201 W PEORIA AVE STE D805, PHOENIX, AZ 85029-4600
- **Practice address phone:** (602) 279-2400
- **Practice address fax:** (602) 279-5890
- **Mailing address:** 727 E BETHANY HOME RD STE B112, PHOENIX, AZ 85014-2151
- **Mailing address phone:** (602) 279-2400
- **Mailing address fax:** (602) 279-5890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2014
- **Last updated:** 02/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 980078 | — | AZ |