Provider Demographics
NPI:1689712390
Name:NORTH VALLEY OBSTETRICS AND GYNECOLOGY
Entity Type:Organization
Organization Name:NORTH VALLEY OBSTETRICS AND GYNECOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:623-780-0100
Mailing Address - Street 1:19841 N 27TH AVE
Mailing Address - Street 2:204
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4003
Mailing Address - Country:US
Mailing Address - Phone:623-780-0100
Mailing Address - Fax:623-492-9160
Practice Address - Street 1:19841 N 27TH AVE
Practice Address - Street 2:204
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4003
Practice Address - Country:US
Practice Address - Phone:623-780-0100
Practice Address - Fax:623-492-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2283207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZDO2283Medicare ID - Type Unspecified
AZD38794Medicare UPIN