Healthcare Provider Details

I. General information

NPI: 1669027157
Provider Name (Legal Business Name): YOUR CARE MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2019
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1641 E OSBORN RD STE 4
PHOENIX AZ
85016-7146
US

IV. Provider business mailing address

1641 E OSBORN RD STE 4
PHOENIX AZ
85016-7146
US

V. Phone/Fax

Practice location:
  • Phone: 480-510-8401
  • Fax: 602-429-8459
Mailing address:
  • Phone: 480-510-8401
  • Fax: 602-429-8459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NIMA AZARBEHI
Title or Position: MEMBER/OWNER
Credential: DO
Phone: 480-510-8401