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SOUTHERN NEVADA PEDIATRIC CENTER (ZULICH) PLLC NPI 1801364252


NPI Information

NPI: 1801364252
Provider Name: SOUTHERN NEVADA PEDIATRIC CENTER (ZULICH), PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 29D0956726

Address:
2050 MARINER DR STE 150
LAS VEGAS, NV
ZIP 89128
Phone: (702) 850-5437
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SOUTHERN NEVADA PEDIATRIC CENTER (ZULICH), PLLC is a pediatrics in Las Vegas, NV. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SOUTHERN NEVADA PEDIATRIC CENTER (ZULICH), PLLC NPI is 1801364252. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2050 MARINER DR STE 150
LAS VEGAS, NV
ZIP 89128-656
Phone: (702) 850-5437
Fax: (702) 850-7337

The provider's authorized official is Ronda Zulich .
The authorized official title is Manager and has the following contact phone number (702) 850-5437.

The CLIA number assigned to this NPI record is 29D0956726 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2018 and was last updated on 5/3/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11801364252MEDICAIDNEVADA

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: 4/28/2024

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