Organization
ROYAL AZ LLC
Active
Organization
ROYAL AZ LLC
Active
Other names
Royal Life Centers
Organization subpart
No
Provider details
NPI number
Authorized official
LEANN LOPEZ B.S. (UTILIZATION REVIEW)
(602) 349-7285
Entity
Organization
Contact information
Practice address
831 GAIL GARDNER WAY, PRESCOTT, AZ 86305-1606
(602) 350-1166
(602) 899-8012
Mailing address
1590 S CONGRESS AVE, PALM SPRINGS, FL 33406-5957
(561) 562-6271
(602) 899-8012
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/22/2024
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