| NPI | 1487716304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE CORRAL Office Manager 702-310-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 8421) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 208VP0000X | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2025-08-27 |