1st Clark County Medical Clinic LLC
General Practice in Las Vegas, NV. Organization (NPI-2).
NPI number1154022523
StatusActive
Last updated in NPPESSep 30, 2026
Details
- NPI
- 1154022523
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Clark County Medical Clinic LLC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2023
- Certification date
- Sep 30, 2026
- Last updated
- Sep 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 2084B0040X | Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | – | – |
Practice location
4570 S Eastern Ave Ste 26Las Vegas, NV 89119-6183
Phone 702-476-3345 · Fax 702-920-8596
Mailing address
4570 S Eastern Ave Ste 26Las Vegas, NV 89119-6183
Phone 702-445-1196 · Fax 702-920-8596
Authorized official
Grezilda Mae Cabo
Ceo
7024451196
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