Youthful Living LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4547 Issued in AZ

Legal business name

YOUTHFUL LIVING LLC

Practice address

10222 W Coggins Dr
Sun City, AZ 85351-3407

Phone

(623) 972-1840

Fax

(623) 972-1855

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Angie K Huxley, DO

Title

Owner/Sole Member

Phone

(623) 972-1840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1508233693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12228",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853182228",
            "telephone_number": "623-972-1840",
            "fax_number": "623-972-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 W COGGINS DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513407",
            "telephone_number": "623-972-1840",
            "fax_number": "623-972-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHFUL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "HUXLEY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "623-972-1840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charan Teja Reddy Yerasi, MD
• Daniel Yim, D.D.S.
• Megan Marie Youngstead, FNP-C
• Youngtown Physical Therapy
• Nasif Yousif, MD
• Kimberly N/a Yung, FNP-C
• Ragul Yuvaraj
• Bilaal Zahoui
• Linda B Zeien, M.D.
• Chelsea Rae Zendarski, LCSW

• Internal Medicine Physician in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.