Organization Active NPI

Clinica Latina Healthcare Group LLC

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1356447387
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25201 Issued in AZ
Legal business name
CLINICA LATINA HEALTHCARE GROUP LLC
Practice address
1108 W Indian School Rd
Suite a
Phoenix, AZ 85013-3107
Phone
(602) 415-1900
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Ronald A Yunis, M.D.
Title
President
Phone
(602) 415-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25201 AZ Primary

Addresses

Primary practice location

1108 W Indian School Rd
Suite a
Phoenix, AZ 85013-3107

Mailing address

1108 W Indian School Rd
Suite a
Phoenix, AZ 85013-3107
Phone (602) 415-1900

National Provider Directory

National Provider Directory

Locations

1108 W Indian School Rd
Ste A
Phoenix, AZ 85013
Phone (602) 415-1900

1108 W Indian School Rd
Phoenix, AZ 85013
Phone (602) 773-5600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1356447387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W INDIAN SCHOOL RD",
            "address_2": "SUITE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133107",
            "telephone_number": "602-415-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W INDIAN SCHOOL RD",
            "address_2": "SUITE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133107",
            "telephone_number": "602-415-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LATINA HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "YUNIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-415-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "25201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.