Healthcare Provider Details

I. General information

NPI: 1194551390
Provider Name (Legal Business Name): YOU ARE FAMILY PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 S MCCLINTOCK DR STE 201
TEMPE AZ
85283-3394
US

IV. Provider business mailing address

6301 S MCCLINTOCK DR STE 201
TEMPE AZ
85283-3394
US

V. Phone/Fax

Practice location:
  • Phone: 480-838-3100
  • Fax: 480-838-3902
Mailing address:
  • Phone: 480-838-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE REYES
Title or Position: OFFICE MANAGER
Credential:
Phone: 480-838-3100