Provider Demographics
NPI:1073987178
Name:CARELON MEDICAL PARTNERS OF ARIZONA PC
Entity type:Organization
Organization Name:CARELON MEDICAL PARTNERS OF ARIZONA PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBION
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-268-5146
Mailing Address - Street 1:12900 PARK PLAZA DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-9329
Mailing Address - Country:US
Mailing Address - Phone:562-741-4470
Mailing Address - Fax:562-741-4479
Practice Address - Street 1:1530 E EUCLID AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313
Practice Address - Country:US
Practice Address - Phone:562-741-4470
Practice Address - Fax:562-741-4479
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREMORE MEDICAL ASSOCIATES, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-30
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty