Organization
ANGEL PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID YIP MD (OWNER/MEMBER)
(602) 685-9500
Entity
Organization
Contact information
Practice address
3654 WEST ANTHEM WAY, SUITE B114, ANTHEM, AZ 85086-0455
(623) 551-0442
(623) 551-0830
Mailing address
3654 WEST ANTHEM WAY, SUITE B114, ANTHEM, AZ 85086-0455
(623) 551-0442
(623) 551-0830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106667
AHCCCS
AZ
Enumeration date
09/07/2006
Last updated
08/22/2020
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