NPI 1003444175

Az Care Health Plan, INC.

Organisation Health Maintenance Organization Phoenix, AZ

Practice location

Address: 20565 N 19th Ave, Phoenix, AZ 85027-3563
Phone: (818) 399-8996
Fax: (855) 959-2273
Mailing address: 4611 Winthrop Dr, Huntington Beach, CA 92649-6417

Authorised official

Name: Lan Nhu Bich Phan
Title: Chief Operating Officer
Phone: (818) 399-8996

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1003444175
Entity type: Organization
NPI issued: 1 Apr 2020
Record last updated: 1 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.