Organization
CHRISTIAN CARE MEDICAL FOUNDATION
Active
Parent organization
CHRISTIAN CARE MEDICAL FOUNDATION
Other names
Mi Doctor Familiar
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTIAN CARE MEDICAL FOUNDATION
Authorized official
HUMBERTO ROBERT INZUNZA PHYSICIAN ASSISTANT (CEO)
(480) 776-9417
Entity
Organization
Contact information
Practice address
5418 E SKYLINE DR, SAN TAN VALLEY, AZ 85140-9000
(480) 776-9417
(480) 907-2110
Mailing address
5330 E SKYLINE DR, SAN TAN VALLEY, AZ 85140-9023
(480) 776-9417
(323) 313-0317
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528356441
HUMBERTO R INZUNZA PA-C NPI
CA
01
—
1952532988
SUNIL R KURUP MD NPI
AZ
05
—
254343
—
AZ
Enumeration date
06/29/2021
Last updated
01/11/2023
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