| NPI | 1801966791 |
|---|---|
| Doing Business As | OPTIMIZED LIVING LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | JAMES DEE ATKINSON Owner 702-313-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NV DO1509) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NV DO1509) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-09-19 |