Organization · NPI-2

Akos Primary Care, LLC

Family Medicine · Glendale, AZ

NPI number1235769613

StatusActive

Last updated in NPPESMar 15, 2023

Details

NPI: 1235769613
Entity type: Organization (NPI-2)
Legal business name: Akos Primary Care, LLC
Organization subpart: No
Enumeration date: Jan 24, 2020
Certification date: Mar 15, 2023
Last updated: Mar 15, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
261QM1300X	Clinic/Center, Multi-Specialty	–	–

Practice location

5104 N 67th Ave
Glendale, AZ 85301-6541

Phone 602-899-4404 · Fax 866-855-4243

Mailing address

Po Box 41638
Phoenix, AZ 85080-1638

Phone 602-899-4404

Authorized official

Timothy Cozatt
Project/Relations Officer
6028994404

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