ANGELES MEDICAL CENTERS LLC NPI 1609389394

NPI Information

NPI: 1609389394
Provider Name: ANGELES MEDICAL CENTERS LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 29D2125937

Address:
2123 CIVIC CENTER DRIVE
NORTH LAS VEGAS, NV
ZIP 89030
Phone: (702) 333-0110
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ANGELES MEDICAL CENTERS LLC is a family nurse practitioner in North Las Vegas, NV. ANGELES MEDICAL CENTERS LLC NPI is 1609389394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2123 CIVIC CENTER DRIVE
NORTH LAS VEGAS, NV
ZIP 89030
Phone: (702) 333-0110
Fax: (702) 333-0442

The provider's authorized official is Rosa Sedo .
The authorized official title is Billing Agent and has the following contact phone number (702) 333-0110.

The CLIA number assigned to this NPI record is 29D2125937 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2017 and was last updated on 2/2/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN002705	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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