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

Southland Geriatric & Palliative Care, LLC

Organization General Practice Physician · NPI 1447790985

Southland Geriatric & Palliative Care, LLC is a General Practice Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
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

4527 N 16th St Ste 104
Phoenix, AZ 85016-5352
Phone: (480) 800-4800
Fax: (480) 699-2914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 006329 (AZ)

Record details

NPI number1447790985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Owen Owens — Practice Administrator · (602) 845-8000
NPI enumeratedMarch 2, 2017
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020
Mailing address4527 N 16th St, Ste 104, Phoenix, AZ 85016-5352

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