# TAHOE AESTHETIC AND INTEGRATIVE MEDICINE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tahoe Aesthetic and Integrative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023321718
- **Authorized official:** REBECCA GELBER MD (MANAGING MEMBER)
- **Authorized official phone:** (775) 298-1750

## Contact information

- **Practice address:** 770 NORTHWOOD BLVD, INCLINE VILLAGE, NV 89451-8284
- **Practice address phone:** (775) 298-1750
- **Mailing address:** 679 SADDLEHORN DR, INCLINE VILLAGE, NV 89451-8500
- **Mailing address phone:** (775) 298-1750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 10275 | NV | Yes |

## Other

- **Enumeration date:** 07/22/2010
- **Last updated:** 07/22/2010
