Victor A Deleon, Md

LBN: St Clare Medical Services Inc
Victor A Deleon, Md is an health care organization with primary practice located at 2525 W Charleston Blvd Suite 100, Las Vegas NV 89102-2127. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty. St Clare Medical Services Inc can be contacted via phone (702) 878-2801, or through Phan, Kimberly via phone (702) 808-4741.

Contact Information

Primary practice address
2525 W Charleston Blvd Suite 100 Las Vegas NV 89102-2127
Fax: (702) 878-3050
Website:
Authorized official contact:
Name: Phan, Kimberly

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X NV9215 Nevada
Managed Care Organizations / Preferred Provider Organization 305R00000X NV9215 Nevada

Profile Details

NPI number 1548579022
LBN Legal business name St Clare Medical Services Inc
DBA Doing business as Victor A Deleon, Md
Authorized official Phan, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2010
Last updated Oct 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548579022 NPPES
Nevada MEDICAID 002018374

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