Healthcare Provider Details

I. General information

NPI: 1891834552
Provider Name (Legal Business Name): M.B. BEST MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8618 N 35TH AVE 3
PHOENIX AZ
85051-3800
US

IV. Provider business mailing address

8618 N 35TH AVE 3
PHOENIX AZ
85051-3800
US

V. Phone/Fax

Practice location:
  • Phone: 602-249-0999
  • Fax: 602-249-6020
Mailing address:
  • Phone: 602-249-0999
  • Fax: 602-249-6020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number3290
License Number StateAZ
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34954
License Number StateAZ

VIII. Authorized Official

Name: ALBERT LANCHIAN
Title or Position: MANAGER
Credential:
Phone: 818-303-6737