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

Bethany Medical LLC

Organization Family Medicine Physician · NPI 1053433912

Bethany Medical LLC is a Family Medicine Physician in Glendal, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5832 W San Miguel Ave #6
Glendal, AZ 85301
Phone: (623) 939-6224
Fax: (623) 939-6224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 15873 (AZ)

Record details

NPI number1053433912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valentine Okon — Administrator · (623) 847-9800
NPI enumeratedApril 4, 2007
Last updated in NPPESJuly 31, 2008
Mailing address5832 W. San Miguel Ave #6, Glendal, AZ 85301