Provider Demographics
NPI:1164017935
Name:WESTSIDE PRIMARY CARE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:WESTSIDE PRIMARY CARE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RIMPY
Authorized Official - Middle Name:
Authorized Official - Last Name:SODHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-772-0222
Mailing Address - Street 1:14420 W MEEKER BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-5288
Mailing Address - Country:US
Mailing Address - Phone:623-267-6700
Mailing Address - Fax:623-267-6701
Practice Address - Street 1:14420 W MEEKER BLVD STE 207
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5288
Practice Address - Country:US
Practice Address - Phone:623-267-6700
Practice Address - Fax:623-267-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty