GUADALUPE MEDICAL CENTER/OKAMOTO MD PC NPI 1598703506

NPI Information

GUADALUPE MEDICAL CENTER/OKAMOTO MD PC is a general practice in Las Vegas, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GUADALUPE MEDICAL CENTER/OKAMOTO MD PC NPI is 1598703506. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Guadalupe Medical Center.

The provider's business location address is:

1219 E CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89104-708
Phone: (702) 633-5410
Fax: (702) 320-1639

The provider's authorized official is Sandra Aldana .
The authorized official title is Administrator and has the following contact phone number (702) 633-5410.

The CLIA number assigned to this NPI record is 29D0960461 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 5/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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