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JOSELO VICUNA MD LTD NPI 1235324369


NPI Information

NPI: 1235324369
Provider Name: JOSELO VICUNA MD LTD
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2031 MCDANIEL ST
SUITE 130
NORTH LAS VEGAS, NV
ZIP 89030
Phone: (702) 649-3135
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JOSELO VICUNA MD LTD is a general practice in North Las Vegas, NV. JOSELO VICUNA MD LTD NPI is 1235324369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2031 MCDANIEL ST
SUITE 130
NORTH LAS VEGAS, NV
ZIP 89030-303
Phone: (702) 649-3135

The provider's authorized official is Joselo A Vicuna .
The authorized official title is Member and has the following contact phone number (702) 921-6829.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 12/7/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice3370NEVADAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V104732MEDICARE PINNEVADA
2C96664MEDICARE UPINNEVADA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.