Identity Hormones LLC
Clinic/Center (Primary Care)

Address: 100 E Camelback Rd Ste 108, Phoenix, AZ 85012-1061
Phone: 9017573643

Identity Hormones LLC (NPI# 1326642372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1326642372
Entity Type Organization
Organization Name IDENTITY HORMONES LLC
Practice Address 100 E Camelback Rd Ste 108
Phoenix
AZ 85012-1061
Practice Telephone 9017573643
Mailing Address 100 E Camelback Rd Ste 108
Phoenix
AZ 85012-1061
Authorized Official Name Melissa Chambers (VP BUSINESS OPERATIONS)
Authorized Official Telephone 9017573643
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-30
Last Update Date 2020-11-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QP2300X Clinic/Center · Primary Care Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Identity Hormones LLC Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Office Location

Street Address 100 E CAMELBACK RD STE 108
City PHOENIX
State AZ
Zip Code 85012-1061

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881205417 Diligence Physical Therapy and Wellness, Pllc Physical Therapist 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 2020-08-17
1962023135 Kelee Jade Forst Student in an Organized Health Care Education/Training Program 4001 N Third Street, Suite 290, Phoenix, AZ 85012 2020-04-29
1659911428 Thomas James Blake Social Worker Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 2020-01-09
1598259467 Luis F Fong Registered Nurse 3620 N. 3rd Street, Phoenix, AZ 85012 2018-06-14
1881196335 Phoenix Surgical Solutions Pllc Surgery 6120 W Bell Rd Suite 130, Glendale, AZ 85012 2018-03-01
1679082523 Christopher Ferguson Physician Assistant 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 2017-09-22
1861911323 Viet Quoc Truong Physician Assistant 650 E Indian School Rd # 1, Phoenix, AZ 85012 2017-09-15
1720506389 Erin Lynne Cody Nurse Practitioner 3003 N. 3rd St, Phoenix, AZ 85012 2017-09-05
1346694627 Sharareh Najafi Psychologist 3450 N. 3rd Street, Phoenix, AZ 85012 2016-04-22
1548635824 Rebekah June Daroff Specialist/Technologist 352 N Camelback Rd, Phoenix, AZ 85012 2015-12-11
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Competitor

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City PHOENIX
Zip Code 85012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.