Healthcare Provider Details

I. General information

NPI: 1316773963
Provider Name (Legal Business Name): GLOBAL HEALTHCARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE NM
87110-7845
US

IV. Provider business mailing address

11178 VALENCIA ST
OAK HILLS CA
92344-0145
US

V. Phone/Fax

Practice location:
  • Phone: 619-215-1748
  • Fax:
Mailing address:
  • Phone: 619-215-1748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GIOVANNY ALEJANDRO LEON
Title or Position: BUSINESS DEVELOPMENT MANAGER
Credential: MD
Phone: 619-215-1748