Provider Demographics
NPI:1225874233
Name:DESERT STAR INSTITUTE FOR FAMILY PLANNING
Entity type:Organization
Organization Name:DESERT STAR INSTITUTE FOR FAMILY PLANNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DESHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACOG
Authorized Official - Phone:480-447-8857
Mailing Address - Street 1:5501 N 19TH AVE STE 420
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-2456
Mailing Address - Country:US
Mailing Address - Phone:480-447-8857
Mailing Address - Fax:480-795-5370
Practice Address - Street 1:5501 N 19TH AVE STE 420
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-2456
Practice Address - Country:US
Practice Address - Phone:480-447-8857
Practice Address - Fax:480-795-5370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center