Provider Demographics
NPI:1962147694
Name:NEW HORIZON MEDICAL CENTER, LLC
Entity type:Organization
Organization Name:NEW HORIZON MEDICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIRTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DALOTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-569-5437
Mailing Address - Street 1:3201 W PEORIA AVE STE D805
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-4600
Mailing Address - Country:US
Mailing Address - Phone:602-569-5437
Mailing Address - Fax:855-583-3686
Practice Address - Street 1:3201 W PEORIA AVE STE D805
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4600
Practice Address - Country:US
Practice Address - Phone:602-569-5437
Practice Address - Fax:855-583-3686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty