Restor Medical & Wellness PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RESTOR MEDICAL & WELLNESS PLLC

Practice address

5062 N 19TH Ave Ste 102B
Phoenix, AZ 85015-3225

Phone

(480) 629-5994

NPI assigned

May 25, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arlette Itami

Title

Member

Phone

(602) 309-4210

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1225529134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5062 N 19TH AVE STE 102B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153225",
            "telephone_number": "480-629-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5062 N 19TH AVE STE 102B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153225",
            "telephone_number": "480-629-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTOR MEDICAL & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "ITAMI",
        "authorized_official_first_name": "ARLETTE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-309-4210"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.