MEDICARE: JUST HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1558068049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	202 MORNINGSIDE DR SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-2633
Country	:	US
Telephone Number	:	505-266-0888
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 MORNINGSIDE DR SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-2633
Country	:	US
Telephone Number	:	505-266-0888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANDRU ZELLER
Credential	:	MD
Telephone Number	:	505-266-0888

Provider Enumeration Date	:	02/14/2023
Last Update Date	:	02/14/2023

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Directions to “JUST HEALTH CARE LLC ” Practice Location

Language	Start Address	Practice Location

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