TAHOE AESTHETIC AND INTEGRATIVE MEDICINE LLC NPI 1023321718

NPI Information

NPI: 1023321718
Provider Name: TAHOE AESTHETIC AND INTEGRATIVE MEDICINE, LLC

Doing Business As: TAHOE AESTHETIC AND INTEGRATIVE MEDICINE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
770 NORTHWOOD BLVD
INCLINE VILLAGE, NV
ZIP 89451
Phone: (775) 298-1750
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TAHOE AESTHETIC AND INTEGRATIVE MEDICINE, LLC is a general practice in Incline Village, NV. 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
1	208D00000X	General Practice		10275	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: 11/14/2023

NPI Synchronization or Removal

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