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

Az Skin Sub LLC

Organization Internal Medicine Physician · NPI 1912618687

Az Skin Sub LLC is an Internal Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2022.

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

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Practice location Address checks out

10810 N Tatum Blvd Ste 102-132
Phoenix, AZ 85028-6055
Phone: (480) 389-6863
Fax: (888) 819-9648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1912618687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jarvis Tzeng — President · (480) 389-6863
NPI enumeratedDecember 13, 2022
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing address10810 N Tatum Blvd Ste 102-132, Phoenix, AZ 85028-6055

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