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

Taz Glendale, LLC

Organization Specialist · NPI 1528426806

Taz Glendale, LLC is a Specialist in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
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

5605 W Eugie Ave Ste 111
Glendale, AZ 85304-1272
Phone: (480) 306-8195
Fax: (480) 306-8196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (AZ)

Record details

NPI number1528426806
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Elliott — Coo · (323) 369-0069
NPI enumeratedFebruary 2, 2016
Last updated in NPPESJune 7, 2016
Mailing address5605 W Eugie Ave, Suite 111, Glendale, AZ 85304-1272

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