HOMER C TUAZON LLC NPI 1851766117

NPI Information

NPI: 1851766117
Provider Name: HOMER C TUAZON LLC

Doing Business As: APOLLO MEDICAL GROUP

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
6330 W FLAMINGO RD
STE 102
LAS VEGAS, NV
ZIP 89103
Phone: (702) 444-7744
Get Directions

HOMER C TUAZON LLC is a family nurse practitioner in Las Vegas, NV. HOMER C TUAZON LLC NPI is 1851766117. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Apollo Medical Group.

The provider's business location address is:

6330 W FLAMINGO RD
STE 102
LAS VEGAS, NV
ZIP 89103-234
Phone: (702) 444-7744
Fax: (702) 444-7898

The provider's authorized official is Homer C Tuazon .
The authorized official title is Ceo and has the following contact phone number (702) 417-3865.

The CLIA number assigned to this NPI record is 29D2115274 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2015 and was last updated on 12/7/2021.

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	174400000X	Specialist		8770	NEVADA	No
2	2471C3402X	Radiologic Technologist	Radiography	8770	NEVADA	No
3	363LF0000X	Nurse Practitioner	Family	APRN001431	NEVADA	Yes
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No

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: 11/14/2023

NPI Synchronization or Removal

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