Provider Type Icon

ALTA MEDICAL CLINIC INC OF NEVADA NPI 1376266833


NPI Information

NPI: 1376266833
Provider Name: ALTA MEDICAL CLINIC INC OF NEVADA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1500 E TROPICANA AVE STE 163
LAS VEGAS, NV
ZIP 89119
Phone: (626) 705-1005
Get Directions

ALTA MEDICAL CLINIC INC OF NEVADA is a general practice in Las Vegas, 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 ALTA MEDICAL CLINIC INC OF NEVADA NPI is 1376266833. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 E TROPICANA AVE STE 163
LAS VEGAS, NV
ZIP 89119-516
Phone: (626) 705-1005

The provider's authorized official is Gladelynn Adlao .
The authorized official title is Vice President and has the following contact phone number (626) 705-1005.

The enumeration date for this NPI number is 9/20/2022 and was last updated on 9/20/2022.


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
12084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryNo
2261Q00000XClinic/CenterNo
3208D00000XGeneral PracticeYes

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: 5/5/2024

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.