Organization · NPI-2

360 Medical Group Nevada, P.C.

Family Medicine · Las Vegas, NV

NPI number1790619823
StatusActive
Last updated in NPPESJun 12, 2026

Details

NPI
1790619823
Entity type
Organization (NPI-2)
Legal business name
360 Medical Group Nevada, P.C.
Organization subpart
No
Enumeration date
Jun 12, 2026
Certification date
Jun 12, 2026
Last updated
Jun 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

732 S 6th St Ste N
Las Vegas, NV 89101-6928

Phone 551-372-9260

Mailing address

732 S 6th St Ste N
Las Vegas, NV 89101-6928

Authorized official

James Villar
Administrator
5513729260

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