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

Tlc Pediatrics PLLC

Organization Specialist · NPI 1154530111

Tlc Pediatrics PLLC is a Specialist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
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

16611 S 40th St Suite# 160
Phoenix, AZ 85048-0562
Phone: (480) 940-8527
Fax: (480) 940-8530
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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 number1154530111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Matsumoto — Owner · (480) 940-8527
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 21, 2022
Mailing address16611 S 40th St, Suite# 160, Phoenix, AZ 85048-0562

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