Healthcare Provider Details

I. General information

NPI: 1649195454
Provider Name (Legal Business Name): PURE CHOICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 N CENTRAL AVE BLDG B
PHOENIX AZ
85012-1315
US

IV. Provider business mailing address

10555 N 58TH DR
GLENDALE AZ
85302-1360
US

V. Phone/Fax

Practice location:
  • Phone: 602-456-1254
  • Fax:
Mailing address:
  • Phone: 602-508-3340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES BORN
Title or Position: DIRECTOR OF CLIENT EDUCATION
Credential:
Phone: 623-490-8526