MY DOC LLC – NPI #1639303464
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

MY DOC LLC is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1639303464 to MY DOC LLC on May 07, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MY DOC LLC below.

NPI Profile for
MY DOC LLC

NPI Number
1639303464
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MY DOC LLC
Primary location
5501 N 19TH AVE STE 103
PHOENIX, AZ 85015-2451
Phone: (602) 841-7588 Fax: (602) 249-5080
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALDEMIR COELHO
DOCTOR
Phone: (602) 841-7588
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.