NPI 1508306739

Dr C's Weight Loss and Anti-Aging Medicine, PC

Organisation Health Maintenance Organization Tempe, AZ

Practice location

Address: 2737 W Baseline Rd Suite 23, Tempe, AZ 85283-1051
Phone: (480) 245-6677

Authorised official

Name: Enrique M Cifuentes
Title: Medical Director
Phone: (480) 245-6677

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 42048 (AZ)

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Registry record

NPI: 1508306739
Entity type: Organization
NPI issued: 7 Mar 2017
Record last updated: 30 Oct 2017

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.