ESRD BEHAVIORAL HEALTH, LLC - NPI 1306322391 - Family Medicine in Surprise, AZ

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.

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About Esrd Behavioral Health, Llc NPPES

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

ESRD BEHAVIORAL HEALTH, LLC (NPI 1306322391) is a healthcare organization registered as a geriatric medicine in Surprise, Arizona and active in the NPI registry since July 2018. The organization lists Linh Nguyen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306322391

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameESRD BEHAVIORAL HEALTH, LLC

Location Address14780 W MOUNTAIN VIEW BLVD STE 110Surprise, AZ 85374-7280

Mailing Address14780 W Mountain View Blvd Ste 110Surprise, AZ 85374-7280 · (623) 374-7774 · Fax (855) 420-6361

Phone(623) 374-7774

Fax(855) 420-6361

Organization SubpartNo

Authorized OfficialLinh NguyenCeo · (623) 374-7774

Enumeration DateJuly 13, 2018

Last NPPES UpdateDecember 6, 20182 updates tracked since enumeration

✔ NPI 1306322391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 35198 (AZ)

14780 W MOUNTAIN VIEW BLVD STE 110, Surprise, AZ 85374

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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