Healthcare Provider Details

I. General information

NPI: 1376461608
Provider Name (Legal Business Name): A&A PODIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20045 N 19TH AVE STE 166
PHOENIX AZ
85027-4254
US

IV. Provider business mailing address

20045 N 19TH AVE STE 166
PHOENIX AZ
85027-4254
US

V. Phone/Fax

Practice location:
  • Phone: 760-237-8488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: ALINA TRAN
Title or Position: OWNER
Credential: DPM
Phone: 760-237-8488