Organization
CLINICA LA FAMILIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO G. CELAYA M.D. (PRESIDENT)
(602) 569-3999
Entity
Organization
Contact information
Practice address
13402 N 32ND ST, PHOENIX, AZ 85032-6047
(602) 569-3999
(602) 569-3887
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
(602) 569-3887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32998
AZ
207R00000X
Internal Medicine Physician
Primary
29615
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325772
—
AZ
Enumeration date
12/01/2005
Last updated
11/25/2024
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