Organization · NPI-2
Akos Live
Clinic/Center, Urgent Care · Glendale, AZ
NPI number1770062374
StatusActive
Last updated in NPPESAug 14, 2018
Details
- NPI
- 1770062374
- Entity type
- Organization (NPI-2)
- Legal business name
- Akos Live
- Organization subpart
- No
- Enumeration date
- Aug 14, 2018
- Last updated
- Aug 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 208D00000X | General Practice | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 2083X0100X | Preventive Medicine, Occupational Medicine | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Practice location
20205 N 67th AveGlendale, AZ 85308-6659
Phone 844-900-2567
Mailing address
20565 N 19th AvePhoenix, AZ 85027-3563
Phone 661-673-6726
Authorized official
Deserie Tsosie
Credentialing
6616736726
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