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GLENDALE REDBIRD CO
NPI 1780489112
Driver in Glendale, AZ

Active since February 18, 2025
6637 N 58TH DR APT 3, GLENDALE, AZ 85301(480) 918-4775 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glendale Redbird Co NPPES

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

GLENDALE REDBIRD CO (NPI 1780489112) is a healthcare organization registered as a driver in Glendale, Arizona and active in the NPI registry since February 2025. The organization lists Mydung Phan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780489112
Entity TypeOrganization
Primary Taxonomy172A00000X
Legal Business NameGLENDALE REDBIRD CO
Location Address6637 N 58TH DR APT 3Glendale, AZ 85301-3900
Mailing Address6637 N 58th Dr Apt 3Glendale, AZ 85301-3900 · (480) 918-4775
Phone(480) 918-4775
Organization SubpartYesParent: Radadvantage A Professional Corp.
Authorized OfficialMydung PhanCeo · (480) 918-4775
Enumeration DateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1780489112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
6637 N 58TH DR APT 3, Glendale, AZ 85301
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Other Names 1

Other NameRadadvantage A Professional Corp.

Other Identifiers 1

Medicaid167030AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MYDUNG PHAN
Peer Specialist
6637 N 58TH DR APT 3
GLENDALE, AZ 85301
Maricopa County (480) 918-4775
MYDUNG T PHAN NUTRITIONIST
Driver
6637 N 58TH DR APT 3
GLENDALE, AZ 85301
Maricopa County (623) 624-5179

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 Glendale Redbird Co's NPI number?

The NPI number for Glendale Redbird Co is 1780489112. It was assigned to this organization in the NPPES registry on February 18, 2025. The provider is also known as Radadvantage A Professional Corp..

Where is Glendale Redbird Co located?

Glendale Redbird Co is located at 6637 N 58th Dr Apt 3, Glendale, AZ 85301. The listed phone number is (480) 918-4775.

What is Glendale Redbird Co's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Glendale Redbird Co was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.