Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angels Valley Legs Care Center PLLC

Organization Surgical Physician Assistant · NPI 1245979129

Angels Valley Legs Care Center PLLC is a Surgical Physician Assistant in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3333 W Thunderbird Rd Apt 2069
Phoenix, AZ 85053-8603
Phone: (520) 527-8038
Fax: (623) 889-0814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1245979129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Simon Joel Edouard — Pa, Sa-C · (520) 527-8038
NPI enumeratedMay 31, 2022
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address6739 W Cactus Rd, Peoria, AZ 85381-5311

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