TAHOE AESTHETIC AND INTEGRATIVE MEDICINE LLC NPI 1023321718

NPI Information

  • NPI: 1023321718
  • Provider Name: TAHOE AESTHETIC AND INTEGRATIVE MEDICINE, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: TAHOE AESTHETIC AND INTEGRATIVE MEDICINE
  • Address: 770 NORTHWOOD BLVD
    INCLINE VILLAGE, NV
    ZIP 89451
  • Phone: (775) 298-1750

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NPI Details

TAHOE AESTHETIC AND INTEGRATIVE MEDICINE, LLC is a general practice in Incline Village, 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 TAHOE AESTHETIC AND INTEGRATIVE MEDICINE, LLC NPI is 1023321718. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tahoe Aesthetic And Integrative Medicine.

The provider's business location address is:

770 NORTHWOOD BLVD
INCLINE VILLAGE, NV
ZIP 89451-284
Phone: (775) 298-1750

The provider's authorized official is Rebecca Gelber .
The authorized official title is Managing Member and has the following contact phone number (775) 298-1750.

The enumeration date for this NPI number is 7/22/2010 and was last updated on 7/22/2010.

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
1208D00000XGeneral Practice10275NEVADAYes

What is NPI?

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This page was last updated on: 3/30/2025

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