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Sun City West Medical Associates — NPI 1528485307, Surprise, AZ | NPI Central

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NPI 1528485307

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Sun City West Medical Associates

NPI 1528485307 · Non-Pharmacy Dispensing Site · Surprise, AZ

Provider details

NPI number: 1528485307
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Organization subpart: Yes
Authorized official: Kenny Heine, Vp of Operations(858) 964-1506
License: 25498 (AZ)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense 25498 (AZ)
Suppliers

Practice location

14674 W Mountain View Blvd

Suite 200

Surprise, AZ 85374-2706

Phone: (623) 544-6860

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

9276 Scranton Rd

San Diego, CA 92121-7701

Other names (DBA / former)

Doing business as: Grand Medical Associates

Registry dates

Enumerated: 2014-03-18
Last updated: 2016-05-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.