| Ya Medical Llc | |
|
334 W Angela Dr Phoenix AZ 85023-6526 | |
| (602) 743-1741 | |
| Not Available |
| Full Name | Ya Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 334 W Angela Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Yuriy Alayev (OWNER/PROVIDER) |
| Authorized Official Contact | 6027431741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ya Medical Llc 334 W Angela Dr Phoenix AZ 85023-6526 Ph: (602) 743-1741 | Ya Medical Llc 334 W Angela Dr Phoenix AZ 85023-6526 Ph: (602) 743-1741 |
| NPI Number | 1164146700 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/28/2022 |
| Medicare PECOS PAC ID | 2264808872 |
|---|---|
| Medicare Enrollment ID | O20221024001893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164146700 | NPI | - | NPPES |
| 135014 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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