# AZ MOBILE MEDICAL LLC

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

## Provider details

- **NPI number:** 1811571151
- **Authorized official:** MS. JOSEFINA LAUCHANGCO (RCM MANAGER)
- **Authorized official phone:** (732) 209-5284

## Contact information

- **Practice address:** 1355 N GREENFIELD RD, GILBERT, AZ 85234
- **Practice address phone:** (480) 567-3040
- **Mailing address:** 1355 N GREENFIELD RD, GILBERT, AZ 85234
- **Mailing address phone:** (480) 567-3040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2021
- **Last updated:** 05/12/2021