| H3 Medical Clinic Llc | |
|
1520 W Sunrise Dr Phoenix AZ 85041-9137 | |
| (602) 578-0627 | |
| Not Available |
| Full Name | H3 Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1520 W Sunrise Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Carlos Alberto Ching (OWNER) |
| Authorized Official Contact | 6025780627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H3 Medical Clinic Llc 1520 W Sunrise Dr Phoenix AZ 85041-9137 Ph: (602) 578-0627 | H3 Medical Clinic Llc 1520 W Sunrise Dr Phoenix AZ 85041-9137 Ph: (602) 578-0627 |
| NPI Number | 1457036592 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 4880042266 |
|---|---|
| Medicare Enrollment ID | O20231122003239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457036592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carlos Alberto Ching |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417543117 PECOS PAC ID: 5193139939 Enrollment ID: I20210205001841 |
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