| NPI | 1225542046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN JAUREGUI CEO 702-266-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |