Chambo Wellness Center, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CHAMBO WELLNESS CENTER, LLC

Practice address

4925 W Bell Rd
Suite C-7
Glendale, AZ 85308-3427

Phone

(602) 789-6753

NPI assigned

Jun 26, 2009

Last updated

Jun 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Chambers

Title

Owner

Phone

(623) 694-0987

Specialties & licenses 1

Addresses

Tax ID family

Chambo Wellness Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chambo Wellness Center, LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1699942268
  NPD tax ID

Locations

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1699903872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 W BELL RD",
            "address_2": "SUITE C-7",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083427",
            "telephone_number": "602-789-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 W BELL RD",
            "address_2": "SUITE C-7",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083427",
            "telephone_number": "602-789-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBO WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-694-0987"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brienna Chamberlain, PA-C
• Lu Anne Chamberlain, RPH
• Chambers Integrated Health PLLC
• Marcie Vondrich Chambers, D.D.S.
• Melissa Anne Chambers, PA-C
• Chambo Wellness Center, LLC
• Sandy C Champine
• Karen Chan
• Nyaduoth J Chan
• Ankit Roy Chander, M.D.

• Physical Medicine & Rehabilitation Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.