Alonso Medical Center PLLC
Family Medicine in North Las Vegas, NV. Organization (NPI-2).
NPI number1194545962
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1194545962
- Entity type
- Organization (NPI-2)
- Legal business name
- Alonso Medical Center PLLC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2024
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – |
Practice location
1820 E Lake Mead BlvdNorth Las Vegas, NV 89030-0160
Phone 702-475-4352 · Fax 702-356-8971
Mailing address
1820 E Lake Mead BlvdNorth Las Vegas, NV 89030-0160
Phone 702-475-4352 · Fax 702-356-8971
Authorized official
Oscar Alonso
Provider
7024754352
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