ANGELES MEDICAL CENTERS LLC NPI 1609327931

NPI Information

ANGELES MEDICAL CENTERS LLC is a primary care nurse practitioner in Las Vegas, NV. ANGELES MEDICAL CENTERS LLC NPI is 1609327931. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

840 N DECATUR BLVD
STE. A
LAS VEGAS, NV
ZIP 89107-905
Phone: (702) 333-0110
Fax: (702) 333-0442

The provider's authorized official is Juan C Martinez-moreno .
The authorized official title is Clinical Director and has the following contact phone number (702) 335-5022.

The CLIA number assigned to this NPI record is 29D2163416 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 10/21/2016.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.