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ZKALA IC - MYRTLE
NPI 1275257917
Clinic/Center - Multi-Specialty in Glendale, AZ

Active since September 27, 2022
7112 N 55TH AVE STE C, GLENDALE, AZ 85301(602) 842-9000 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zkala Ic - Myrtle NPPES

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

ZKALA IC - MYRTLE (NPI 1275257917) is a healthcare organization registered as a multi-specialty in Glendale, Arizona and active in the NPI registry since September 2022. The organization lists Javan Lee, Executive Leadership, as its authorized official.

NPPES Registry Identity

NPI1275257917
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameZKALA IC - MYRTLE
Location Address7112 N 55TH AVE STE CGlendale, AZ 85301-0707
Mailing Address8050 N 19th Ave Ste 500Phoenix, AZ 85021-5160 · (623) 842-9000
Phone(602) 842-9000
Organization SubpartYesParent: Z'kala, Llc
Authorized OfficialJavan LeeExecutive Leadership · (623) 777-8339
Enumeration DateSeptember 27, 2022
NPPES CertifiedSeptember 25, 2022
✔ NPI 1275257917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy 332800000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
7112 N 55TH AVE STE C, Glendale, AZ 85301
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

4 CORNERS BEHAVIORAL HEALTH & PSYCHIATRY LLC
Psychiatry & Neurology (Addiction Medicine)
7112 N 55TH AVE STE C
GLENDALE, AZ 85301
Maricopa County (929) 692-4710
Z'KALA, LLC
Clinic/Center (Multi-Specialty)
7112 N 55TH AVE STE C
GLENDALE, AZ 85301
Maricopa County (602) 842-9000

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 Zkala Ic - Myrtle's NPI number?

The NPI number for Zkala Ic - Myrtle is 1275257917. It was assigned to this organization in the NPPES registry on September 27, 2022.

Where is Zkala Ic - Myrtle located?

Zkala Ic - Myrtle is located at 7112 N 55th Ave Ste C, Glendale, AZ 85301. The listed phone number is (602) 842-9000.

What is Zkala Ic - Myrtle's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Zkala Ic - Myrtle was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.