NPI 1093984171

Mmgl, LLC

Organisation Preferred Provider Organization Chandler, AZ

Practice location

Address: 2175 N. Alma School Rd. Suite A- 104, Chandler, AZ 85224
Phone: (480) 275-4415
Fax: (480) 275-4577

Authorised official

Name: Maria Manuela Gonzalez-Landestoy
Title: Owner/Physician
Phone: (480) 275-4415

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 29719 (AZ)

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Registry record

NPI: 1093984171
Entity type: Organization
NPI issued: 22 Feb 2008
Record last updated: 19 Feb 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.