Organization
THRIVE HEALTH IV CLINIC, P.C.
Active
Parent organization
THRIVE HEALTH IV CLINIC, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THRIVE HEALTH IV CLINIC, P.C.
Authorized official
RAYMOND S DOUGLAS MD (PRESIDENT)
(310) 363-8757
Entity
Organization
Contact information
Practice address
9151 W THUNDERBIRD RD STE G104, PEORIA, AZ 85381-4906
(310) 363-8757
(310) 363-8758
Mailing address
9675 BRIGHTON WAY STE 410, BEVERLY HILLS, CA 90210-5192
(310) 363-8757
(310) 363-8758
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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