NPI 1215715875

Cca Direct INC

Organisation Preferred Provider Organization Las Vegas, NV

Practice location

Address: 6970 Obannon Dr, Las Vegas, NV 89117-2122
Phone: (619) 213-8147

Authorised official

Name: Todd Steven Breeden
Title: Coo
Phone: (619) 213-8147

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Nevada →

Registry record

NPI: 1215715875
Entity type: Organization
NPI issued: 15 Sep 2023
Record last updated: 15 Sep 2023

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.