Organization
CLINICA HISPANA OF WEST VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERMINDER VAID M.D. (MANAGER)
(623) 247-7409
Entity
Organization
Contact information
Practice address
6524 W INDIAN SCHOOL RD, # C, PHOENIX, AZ 85033-3329
(623) 247-7409
Mailing address
6524 W INDIAN SCHOOL RD, # C, PHOENIX, AZ 85033-3329
(623) 247-7409
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
28603
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
938186
—
AZ
Enumeration date
11/25/2013
Last updated
11/25/2013
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