Organization · Type 2 NPI

Havasu House Call PLLC

Geriatric Medicine (Family Medicine) Physician · Lake Havasu City, AZ

NPI number 1174427892 Active

Practice location

3180 Caravelle Dr
Lake Havasu City, AZ 86406-6144

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician Primary 207QG0300XNone listed

Geriatric Medicine (Family Medicine) Physician: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

About NPI 1174427892

Havasu House Call PLLC's National Provider Identifier is 1174427892, issued on Oct 6, 2026. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Oct 6, 2026.