NPI 1083674246

Vegas Valley Perosnal Care

Organisation Exclusive Provider Organization Las Vegas, NV

Practice location

Address: 5016 Alta Dr, Las Vegas, NV 89107-3927
Phone: (702) 870-8855
Fax: (702) 870-8857

Authorised official

Name: Lorraine Gomez
Title: Off Manager
Phone: (702) 870-8855

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence H14-00141-B-120899 (NV)

Other Exclusive Provider Organization providers in Nevada →

Registry record

NPI: 1083674246
Entity type: Organization
NPI issued: 23 Mar 2006
Record last updated: 22 Aug 2020

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.