HEART MEDICAL GROUP NPI 1962050716

NPI Information

  • NPI: 1962050716
  • Provider Name: HEART MEDICAL GROUP
  • Classification: Internal Medicine - 207RA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Doing Business As: HEART MEDICAL GROUP
  • Address: 1210 S VALLEY VIEW BLVD
    UNIT 102
    LAS VEGAS, NV
    ZIP 89102
  • Phone: (702) 235-5778

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NPI Details

HEART MEDICAL GROUP is an adolescent medicine internal medicine in Las Vegas, NV. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. HEART MEDICAL GROUP NPI is 1962050716. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heart Medical Group.

The provider's business location address is:

1210 S VALLEY VIEW BLVD
UNIT 102
LAS VEGAS, NV
ZIP 89102
Phone: (702) 235-5778

The provider's authorized official is Vivian Owyong .
The authorized official title is Agent and has the following contact phone number (702) 235-5778.

The enumeration date for this NPI number is 8/26/2019 and was last updated on 12/30/2019.

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
1207RA0000XInternal MedicineAdolescent MedicineYes

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: 3/30/2025

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