VALLEY PEDIATRIC & SPECIALTY CENTER NPI 1568892545

NPI Information

VALLEY PEDIATRIC & SPECIALTY CENTER is a specialist in Las Vegas, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VALLEY PEDIATRIC & SPECIALTY CENTER NPI is 1568892545. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3100 W CHARLESTON BLVD
SUITE 210
LAS VEGAS, NV
ZIP 89102-023
Phone: (702) 388-4428
Fax: (702) 388-4312

The provider's authorized official is Teresita Lu Melocoton .
The authorized official title is Provider and has the following contact phone number (702) 388-4428.

The CLIA number assigned to this NPI record is 29D1001253 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2013 and was last updated on 11/13/2013.

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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