VA NPI 1073523221

NPI Information

VA is an adult mental health clinic center in Las Vegas, NV. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. VA NPI is 1073523221. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Va Southern Nevada Health Care System.

The provider's business location address is:

916 W. OWENS AVE. LAS VEGAS NV 89036
LAS VEGAS, NV
ZIP 89117
Phone: (702) 636-3000

The provider's authorized official is Mojtaba R Motlagh .
The authorized official title is Psychiatist and has the following contact phone number 70263630000.

The CLIA number assigned to this NPI record is 29D2037806 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/14/2008.

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:

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