Organization
SENIOR DOC ARIZONA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA LEYLA SOTO (CREDENTIALING SPECIALIST)
(855) 434-7763
Entity
Organization
Contact information
Practice address
14631 N CAVE CREEK RD STE 104, PHOENIX, AZ 85022-4100
(855) 434-7763
(949) 281-5550
Mailing address
5 HUTTON CENTRE DR STE 950, SANTA ANA, CA 92707-8714
(855) 434-7763
(949) 281-5550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
03/27/2025
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