Healthcare Provider Details

I. General information

NPI: 1487062667
Provider Name (Legal Business Name): PPH FRANCHISE HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 07/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8324 E HARTFORD DR STE 200
SCOTTSDALE AZ
85255-7801
US

IV. Provider business mailing address

24432 MUIRLANDS BOULEVARD SUITE 207
LAKE FOREST CA
85255
US

V. Phone/Fax

Practice location:
  • Phone: 888-909-6551
  • Fax:
Mailing address:
  • Phone: 888-909-6551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: VICTORIA SOWARDS
Title or Position: DIRECTO OF NURSING RESOURCES
Credential:
Phone: 888-909-6551