BETHANY MEDICAL L.L.C – NPI #1053433912
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BETHANY MEDICAL L.L.C is a provider located in GLENDALE, AZ. NPPES has assigned the NPI number 1053433912 to BETHANY MEDICAL L.L.C on April 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Jul 31, 2008. 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 BETHANY MEDICAL L.L.C below.

NPI Profile for
BETHANY MEDICAL L.L.C

NPI Number
1053433912
Enumeration Date

(more than 19 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
BETHANY MEDICAL L.L.C
Primary location
5832 W. SAN MIGUEL AVE #6
GLENDALE, AZ 85301
Phone: (623) 939-6224 Fax: (623) 939-6224
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VALENTINE OKON
ADMINISTRATOR
Phone: (623) 847-9800
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
207Q00000X
- Family Medicine (Primary)
AZ 15873

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.