Medical Group Llc

LBN: Medical Group Llc
Medical Group Llc is an health care organization with primary practice located at 9315 W Sunset Rd Suite 100, Las Vegas NV 89148-5011. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Medical Group Llc can be contacted via phone (702) 638-7705, or through Pua, Roland Jayson via phone (702) 638-7705.

Contact Information

Primary practice address
9315 W Sunset Rd Suite 100 Las Vegas NV 89148-5011
Phone: (702) 638-7705
Fax: (702) 638-7706
Website:
Map and Directions
Authorized official contact:
Name: Pua, Roland Jayson Doctor of Medicine (MD)
Phone: (702) 638-7705

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 12103 Nevada

Profile Details

NPI number 1366681538
LBN Legal business name Medical Group Llc
DBA Doing business as
Authorized official Pua, Roland Jayson Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2009
Last updated Oct 7th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366681538 NPPES
Other 207RG0600X TAXONOMY
MEDICAID 100511248 TAXONOMY
Other 1215009782 TAXONOMY

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