Choice Health Palace LLC
Clinic/Center, Primary Care in Las Vegas, NV. Organization (NPI-2).
NPI number1962079301
StatusActive
Last updated in NPPESJul 21, 2021
Details
- NPI
- 1962079301
- Entity type
- Organization (NPI-2)
- Legal business name
- Choice Health Palace LLC
- Organization subpart
- No
- Enumeration date
- Jun 4, 2021
- Certification date
- Jul 21, 2021
- Last updated
- Jul 21, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 208000000X | Pediatrics | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Practice location
2750 S Rancho DrLas Vegas, NV 89102-6400
Phone 702-463-9066 · Fax 702-463-9067
Mailing address
631 N Stephanie St # 260Henderson, NV 89014-2633
Phone 702-250-9200
Authorized official
Letaniya Warren
Owner
7026860600
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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