ANGELS VALLEY LEGS CARE CENTER PLLC
NPI 1245979129
Physician Assistant - Surgical in Phoenix, AZ

Q: What is Angels Valley Legs Care Center PLLC's NPI number?

The NPI number for Angels Valley Legs Care Center PLLC is 1245979129. It was assigned to this organization in the NPPES registry on May 31, 2022.

Q: What is Angels Valley Legs Care Center PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since May 31, 2022

3333 W THUNDERBIRD RD APT 2069, PHOENIX, AZ 85053(520) 527-8038(623) 889-0814 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angels Valley Legs Care Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELS VALLEY LEGS CARE CENTER PLLC (NPI 1245979129) is a healthcare organization registered as a surgical in Phoenix, Arizona and active in the NPI registry since May 2022. The organization lists Jean Simon Joel Edouard, Pa, Sa-c, as its authorized official.

NPPES Registry Identity

NPI1245979129

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameANGELS VALLEY LEGS CARE CENTER PLLC

Location Address3333 W THUNDERBIRD RD APT 2069Phoenix, AZ 85053-8603

Mailing Address6739 W Cactus RdPeoria, AZ 85381-5311 · (520) 527-8038 · Fax (623) 889-0814

Phone(520) 527-8038

Fax(623) 889-0814

Organization SubpartNo

Authorized OfficialJean Simon Joel EdouardPa, Sa-c · (520) 527-8038

Enumeration DateMay 31, 2022

NPPES CertifiedMay 31, 2022

✔ NPI 1245979129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

3333 W THUNDERBIRD RD APT 2069, Phoenix, AZ 85053

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angels Valley Legs Care Center PLLC's NPI number?

The NPI number for Angels Valley Legs Care Center PLLC is 1245979129. It was assigned to this organization in the NPPES registry on May 31, 2022.

Where is Angels Valley Legs Care Center PLLC located?

Angels Valley Legs Care Center PLLC is located at 3333 W Thunderbird Rd Apt 2069, Phoenix, AZ 85053. The listed phone number is (520) 527-8038.

What is Angels Valley Legs Care Center PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Angels Valley Legs Care Center PLLC was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.