SOUTHERN NEVADA MEDICAL & PEDIATRICS ASSOCIATES LLC is a primary care clinic center in Las Vegas, NV. SOUTHERN NEVADA MEDICAL & PEDIATRICS ASSOCIATES LLC NPI is 1093230138. The provider is registered as an organization entity type.
The provider's business location address is:
3301 W CHARLESTON BLVD LAS VEGAS, NV ZIP 89102-835 Phone: (702) 968-0100 Fax: (702) 968-0104
The provider's authorized official is Camilo Tabora . The authorized official title is Managing Partner and has the following contact phone number (702) 968-0100.
The CLIA number assigned to this NPI record is 29D2066059 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/10/2017 and was last updated on 7/21/2022.
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:
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
NPI Synchronization or Removal
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