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CLINICA MEDICA DEL CANYON GATE NPI 1568764140


NPI Information

NPI: 1568764140
Provider Name: CLINICA MEDICA DEL CANYON GATE

Other Name: CANYON GATE MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2832 E LAKE MEAD BLVD
SUITE# E
NORTH LAS VEGAS, NV
ZIP 89030
Phone: (702) 649-5155
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CLINICA MEDICA DEL CANYON GATE is an internal medicine in North Las Vegas, NV. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CLINICA MEDICA DEL CANYON GATE NPI is 1568764140. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Canyon Gate Medical Group.

The provider's business location address is:

2832 E LAKE MEAD BLVD
SUITE# E
NORTH LAS VEGAS, NV
ZIP 89030-550
Phone: (702) 649-5155

The provider's authorized official is Veronica Colon .
The authorized official title is Credentialing Coordinator and has the following contact phone number (954) 656-8855.

The enumeration date for this NPI number is 12/2/2010 and was last updated on 12/2/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine12464NEVADAYes

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

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