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NPI Code Detail

MEDICARE: UMBRELLA MEDICAL LLC

MEDICARE: UMBRELLA MEDICAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner
2207QG0300XGeriatric Medicine (Family Medicine) Physician
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1861202335
Entity Type Code : Organization
Provider Name (Legal Business Name) : UMBRELLA MEDICAL LLC
Provider Business Mailing Address
First Line : 7142 N 17TH DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-8539
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1728 W GLENDALE AVE STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-8862
Country : US
Telephone Number : 623-299-8251
Fax Number :
Authorized Official
Title or Position : COO
Name : CALINDA SMITH
Credential :
Telephone Number : 602-362-2983
Provider Enumeration Date : 01/08/2025
Last Update Date : 02/12/2026

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Directions to “UMBRELLA MEDICAL LLC ” Practice Location

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