1093984171 MMGL, LLC
Preferred Provider Organization
Reactivated
Basic Information
- Organization Name
- MMGL, LLC
- Enumeration Date
- February 22, 2008
- Last Update
- February 19, 2020
- Deactivation Date
- May 3, 2017
- Reactivation Date
- February 19, 2020
- Authorized Official
- MRS. MARIA MANUELA GONZALEZ-LANDESTOY MD
OWNER/PHYSICIAN
Phone: (480) 275-4415
Practice Location
- Address
- 2175 N. ALMA SCHOOL RD.
SUITE A- 104
CHANDLER, AZ 85224 - Phone
- (480) 275-4415
- Fax
- (480) 275-4577
Mailing Address
- Address
- 2175 N. ALMA SCHOOL RD.
SUITE A- 104
CHANDLER, AZ 85224 - Phone
- (480) 275-4415
- Fax
- (480) 275-4577
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Preferred Provider Organization | 29719 | AZ | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0744170 | 01 | AZ | AZ BC/BS |
| Z78260 | 01 | AZ | MEDICARE GROUP NUMBER |
| 632697 | 05 | AZ | N/A |
Frequently Asked Questions
What is MMGL, LLC's NPI number?
MMGL, LLC's NPI number is 1093984171.
Which doctor has NPI number 1093984171?
The doctor with NPI number 1093984171 is MMGL, LLC.
What is MMGL, LLC's practice address?
MMGL, LLC's practice address is 2175 N. ALMA SCHOOL RD., SUITE A- 104, CHANDLER, AZ, 85224.
Which doctor practices at 2175 N. ALMA SCHOOL RD., SUITE A- 104, CHANDLER, AZ, 85224?
MMGL, LLC practices at 2175 N. ALMA SCHOOL RD., SUITE A- 104, CHANDLER, AZ, 85224.
What is MMGL, LLC's phone number?
MMGL, LLC's phone number is (480) 275-4415.
Who is (480) 275-4415?
(480) 275-4415 is the phone number for MMGL, LLC.
What is MMGL, LLC's specialty?
MMGL, LLC's specialty is Preferred Provider Organization.
What type of doctor is MMGL, LLC?
MMGL, LLC is a Preferred Provider Organization.
Is MMGL, LLC a Preferred Provider Organization?
Yes, MMGL, LLC is a Preferred Provider Organization.
Is MMGL, LLC still practicing?
Yes, MMGL, LLC has reactivated their practice and is currently practicing.
Is MMGL, LLC accepting new patients?
MMGL, LLC may be accepting new patients. Please call their office at (480) 275-4415 to inquire about availability.
Is NPI 1093984171 still active?
Yes, NPI 1093984171 has been reactivated and is currently active.
Where does MMGL, LLC practice?
MMGL, LLC practices in CHANDLER, AZ.