Healthcare Provider Details

I. General information

NPI: 1356951842
Provider Name (Legal Business Name): LIVING GEM PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2020
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 N LA CHOLLA BLVD UNIT 110
TUCSON AZ
85741-4242
US

IV. Provider business mailing address

7600 N LA CHOLLA BLVD UNIT 110
TUCSON AZ
85741-4242
US

V. Phone/Fax

Practice location:
  • Phone: 520-849-7222
  • Fax: 877-414-2595
Mailing address:
  • Phone: 520-849-7222
  • Fax: 877-414-2595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AYNUR OKCAY
Title or Position: OWNER
Credential: MD
Phone: 520-849-7222