NPI 1104045830

Broca Health LLC

Organisation Health Maintenance Organization Tempe, AZ

Practice location

Address: 1492 S Mill Ave STE. 114, Tempe, AZ 85281-5652
Phone: (480) 557-5710
Fax: (480) 557-5712
Mailing address: 3941 E Chandler Blvd STE. 106-158, Phoenix, AZ 85048-0301

Authorised official

Name: Ignacio Cabezudo
Title: Doctor
Phone: (480) 557-5710

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 29743 (AZ)

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Registry record

NPI: 1104045830
Entity type: Organization
NPI issued: 24 Apr 2007
Record last updated: 2 Jun 2010

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.