NPI 1023508843
Clark County Medical Group LLC
Practice location
- Address
- 2225 E Flamingo Rd STE 100, Las Vegas, NV 89119-5126
- Phone
- (702) 831-8993
- Fax
- (702) 922-0404
- Mailing address
- 3650 S Eastern Ave STE 330, Las Vegas, NV 89169-3345
Authorised official
- Name
- Ferdinand Dalope
- Title
- Ceo
- Phone
- (702) 831-8993
Registered specialties (5)
Behavior Analyst
Primary
Mental Health Counselor
Clinical Social Worker
Marriage & Family Therapist
Community Psychiatric/Mental Health Clinical Nurse Specialist
Registry record
- NPI
- 1023508843
- Entity type
- Organization
- NPI issued
- 17 May 2018
- Record last updated
- 16 Sep 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.