Organization
COMMUNITY PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AZIZ MALLIK (MANAGING PARTNER)
(623) 328-7087
Entity
Organization
Contact information
Practice address
13624 W CAMINO DEL SOL STE 150, SUN CITY WEST, AZ 85375-3405
(623) 328-7087
(623) 218-1337
Mailing address
12409 W INDIAN SCHOOL RD STE A108, AVONDALE, AZ 85392-9503
(623) 328-7087
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/13/2021
Last updated
12/22/2021
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