Organization · NPI-2
Arizona Advanced Heart & Lung Specialists LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Phoenix, AZ
NPI number1932925518
StatusActive
Last updated in NPPESNov 27, 2024
Details
- NPI
- 1932925518
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Advanced Heart & Lung Specialists LLC
- Organization subpart
- No
- Enumeration date
- Nov 27, 2024
- Certification date
- Nov 27, 2024
- Last updated
- Nov 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | Yes |
Practice location
3131 E Clarendon Ave Ste 101Phoenix, AZ 85016-7069
Phone 602-881-1976
Mailing address
3219 E Camelback Rd # 260Phoenix, AZ 85018-2307
Phone 602-881-1976
Authorized official
Hao Kenith Fang
President
6029992084
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