Provider Demographics
NPI:1922204155
Name:WESTVIEW FAMILY MEDICINE, P.C.
Entity Type:Organization
Organization Name:WESTVIEW FAMILY MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:JO ANN
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-536-6788
Mailing Address - Street 1:P.O. BOX 7310
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85011-7310
Mailing Address - Country:US
Mailing Address - Phone:623-536-6788
Mailing Address - Fax:623-536-9288
Practice Address - Street 1:13065 W MCDOWELL RD
Practice Address - Street 2:A-105
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323-6439
Practice Address - Country:US
Practice Address - Phone:623-536-6788
Practice Address - Fax:623-536-9288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23025207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1306838511OtherDR. HOANG NPI
AZ1306838511OtherDR. HOANG NPI