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JORGENSON & KOKA LLP NPI 1881199800


NPI Information

NPI: 1881199800
Provider Name: JORGENSON & KOKA LLP

Doing Business As: ADVANCED URGENT CARE AND NIGHTLIGHT PEDIATRICS

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 29D1004345

Address:
9975 S EASTERN AVE STE 110
LAS VEGAS, NV
ZIP 89183
Phone: (702) 361-2273
Get Directions

JORGENSON & KOKA LLP is a non pharmacy dispensing site in Las Vegas, NV. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) JORGENSON & KOKA LLP NPI is 1881199800. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Urgent Care And Nightlight Pediatrics.

The provider's business location address is:

9975 S EASTERN AVE STE 110
LAS VEGAS, NV
ZIP 89183-950
Phone: (702) 361-2273
Fax: (702) 361-6885

The provider's authorized official is Craig M Jorgenson .
The authorized official title is Co-owner and has the following contact phone number (702) 361-2273.

The CLIA number assigned to this NPI record is 29D1004345 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2018 and was last updated on 3/30/2018.


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
1332900000XNon-Pharmacy Dispensing SiteYes

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: 4/28/2024

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