Organization · NPI-2
Billet By Ulu LLC
Integrative Medicine · Glendale, AZ
NPI number1376239277
StatusActive
Last updated in NPPESApr 21, 2023
Details
- NPI
- 1376239277
- Entity type
- Organization (NPI-2)
- Legal business name
- Billet By Ulu LLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2023
- Certification date
- Apr 21, 2023
- Last updated
- Apr 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202D00000X | Integrative Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QD0000X | Clinic/Center, Dental | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Practice location
5540 W Glendale Ave Ste C102Glendale, AZ 85301-2581
Phone 833-224-5538
Mailing address
6710 N 47th AveGlendale, AZ 85301-4121
Phone 833-224-5538
Authorized official
Vahan Oganesyan
Coo
8332245538
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