Elite Care Mobile Medical Group
Nurse Practitioner, Family in Las Vegas, NV. Organization (NPI-2).
NPI number1023939261
StatusActive
Last updated in NPPESJul 23, 2026
Details
- NPI
- 1023939261
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Care Mobile Medical Group
- Organization subpart
- No
- Enumeration date
- Jul 23, 2026
- Certification date
- Jul 23, 2026
- Last updated
- Jul 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Other names
- Family Healthcare Services (Doing Business As)
Practice location
2950 E Flamingo Rd Ste J3Las Vegas, NV 89121-5209
Phone 510-520-3369
Mailing address
2950 E Flamingo Rd Ste J3Las Vegas, NV 89121-5209
Phone 510-520-3369
Authorized official
Antonio Luis De Peralta
President
5105203369
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