MEDICARE: GRETHEL EDITHZA OCHOA BOBADILLA LAC

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	101YM0800X	Mental Health Counselor	19327	AZ

General Provider Information

NPI Number	:	1962260083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETHEL EDITHZA OCHOA BOBADILLA LAC

Provider Business Mailing Address
First Line	:	4750 S 44TH PL STE 150
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85040-4015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4750 S 44TH PL STE 150
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85040-4015
Country	:	US
Telephone Number	:	602-659-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2024
Last Update Date	:	03/16/2026

Similar Medicare Providers

1346255908 — SOUTHWEST BEHAVIORAL HEALTH
Practice Location Address:

4015 S 7TH ST
PHOENIX, AZ
85040-1134

Practice Phone: 602-243-0049
Practice Fax: 302-243-7291

1750340139 — EUGENE LOUIS DELA CRUZ DPM
Practice Location Address:

19636 N 27TH AVE STE 207
PHOENIX, AZ
85027-4015

Practice Phone: 602-993-2700
Practice Fax: 602-993-2705

1134186158 — DR. DALINE EFTHIN GONZALEZ D.D.S.
Practice Location Address:

4015 N 15TH AVE
PHOENIX, AZ
85015-5209

Practice Phone: 602-248-0434
Practice Fax:

1669576948 — DR. STEVEN SAMUEL TRAIKOVICH D.O
Practice Location Address:

19636 N 27TH AVE STE 206
PHOENIX, AZ
85027-4015

Practice Phone: 623-516-0930
Practice Fax: 623-580-9084

1033322961 — ISABEL RODRIQUEZ RDH
Practice Location Address:

4015 N. 15TH AVE
PHOENIX, AZ
85015

Practice Phone: 602-248-0434
Practice Fax:

1811100761 — TIMOTHY JOHN MCAULIFFE O.D.
Practice Location Address:

4015 EAST BELL ROAD , SUITE # 136
PHOENIX, AZ
85032-2243

Practice Phone: 602-971-5858
Practice Fax: 602-404-1879

Directions to “ GRETHEL EDITHZA OCHOA BOBADILLA LAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.