Provider Demographics
NPI:1093410946
Name:A-Z HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:A-Z HEALTHCARE SERVICES INC
Other - Org Name:AZ MOBILE DOCTORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:TILA
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:602-962-6767
Mailing Address - Street 1:14362 N FRANK LLOYD WRIGHT BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-8847
Mailing Address - Country:US
Mailing Address - Phone:602-962-6767
Mailing Address - Fax:602-968-6790
Practice Address - Street 1:4125 VERDUGO RD STE A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90065-3820
Practice Address - Country:US
Practice Address - Phone:602-962-6767
Practice Address - Fax:602-968-6790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care