NPI | 1790450104 |
---|---|
Doing Business As | OPTIMA HEALTHCARE |
Entity Type | Organization |
Authorized Contact | MARIVIC LUNA BANAL Director 702-778-4838 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
2084P0800X Psychiatry & Neurology, Psychiatry | |
261QR0200X Clinic/Center, Radiology | |
Enumeration Date | 2021-08-09 |
Last Update Date | 2021-10-27 |