Breeze Medical Center
Family Medicine in North Las Vegas, NV. Organization (NPI-2).
NPI number1124939996
StatusActive
Last updated in NPPESSep 12, 2026
Details
- NPI
- 1124939996
- Entity type
- Organization (NPI-2)
- Legal business name
- Breeze Medical Center
- Organization subpart
- No
- Enumeration date
- Sep 12, 2026
- Certification date
- Sep 12, 2026
- Last updated
- Sep 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 208VP0000X | – | – | ||
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
1229 Deep Valley AveNorth Las Vegas, NV 89084-4004
Phone 702-541-3735
Mailing address
1229 Deep Valley AveNorth Las Vegas, NV 89084-4004
Phone 702-541-3735
Authorized official
Yandy Pomares Moreno
Owner
7025413735
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