# TRUSTED CARE EAST VALLEY AZ, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1972024917
- **Authorized official:** WAYNE DESTEFANO (MANAGER)
- **Authorized official phone:** (602) 715-1654

## Contact information

- **Practice address:** 1114 S HIGLEY ROAD STE 101, MESA, AZ 85206
- **Practice address phone:** (602) 715-1654
- **Mailing address:** 20950 N TATUM BLVD STE 170, PHOENIX, AZ 85050-4272
- **Mailing address fax:** (480) 499-5878

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2017
- **Last updated:** 07/21/2022