Orthopedic & Sports Medicine Institute Of Las Vegas
LBN: Randa Bascharon D.O., Inc
Orthopedic & Sports Medicine Institute Of Las Vegas is an health care organization with primary practice located at 500 E Windmill Ln # 125, Las Vegas NV 89123-1843. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Randa Bascharon D.O., Inc can be contacted via phone (702) 947-7790, or through Bascharon, Randa Amin via phone (702) 596-0036.
Contact Information
Primary practice address
500 E Windmill Ln # 125
Las Vegas NV 89123-1843
Phone: (702) 947-7790
Fax: (702) 947-7792
Website:
Authorized official contact:
Name: Bascharon, Randa Amin Doctor of Osteopathy (DO)
Phone: (702) 596-0036
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 1103 | Nevada |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 20A8358 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 1103 | Nevada |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 20A8358 | California |
Profile Details
| NPI number | 1821032244 |
|---|---|
| LBN Legal business name | Randa Bascharon D.O., Inc |
| DBA Doing business as | Orthopedic & Sports Medicine Institute Of Las Vegas |
| Authorized official | Bascharon, Randa Amin Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Mar 23rd, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821032244 | NPPES |
| California | Other | XTE006922 | CALIF MEDI-CAL |
| California | MEDICAID | 100503044 | CALIF MEDI-CAL |
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