Individual
MRS. COCA AIDA HADJIPENTCHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 W PONTIAC DR, PHOENIX, AZ 85027-5713
(623) 748-8108
(623) 466-7753
Mailing address
1020 W PONTIAC DR, PHOENIX, AZ 85027-5713
(623) 748-8108
(623) 466-7753
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-5691
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082984
AHCCCS PROVIDER ID
AZ
Enumeration date
04/04/2008
Last updated
04/04/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us