1881719342 NPI number — AUC INVESTORS GROUP LLC.

Table of content: (NPI 1881719342)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881719342 NPI number — AUC INVESTORS GROUP LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AUC INVESTORS GROUP LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881719342
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5410 W THUNDERBIRD RD STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85306-4711
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
623-443-6711
Provider Business Mailing Address Fax Number:
602-443-6760

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14800 W MOUNTAIN VIEW BLVD STE 190
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SURPRISE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85374-2700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-443-6711
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ESSARY
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
602-443-6711

Provider Taxonomy Codes

  • Taxonomy code: 261QU0200X , with the licence number:  3646 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)