DR. JOSELO ATIENZA VICUNA MD NPI 1033201082

NPI Information

NPI: 1033201082
Provider Name: DR. JOSELO ATIENZA VICUNA, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
2365 REYNOLDS AVE
211
NORTH LAS VEGAS, NV
ZIP 89030
Phone: (702) 399-1287
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DR. Joselo Atienza Vicuna, MD is a general practice in North Las Vegas, NV. DR. Joselo Atienza Vicuna, MD NPI is 1033201082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2365 REYNOLDS AVE
211
NORTH LAS VEGAS, NV
ZIP 89030-276
Phone: (702) 399-1287
Fax: (702) 649-8064

The enumeration date for this NPI number is 9/28/2006 and was last updated on 1/25/2012.

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		3370	NEVADA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C96664	MEDICARE UPIN
2	1033201082	MEDICAID	NEVADA
3	105342	MEDICARE PIN	NEVADA

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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