# JOSE MARIA PARTIDA CORONA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134646466
- **Authorized official:** JOSE CORONA (MD)
- **Authorized official phone:** (702) 256-3637

## Contact information

- **Practice address:** 2950 E FLAMINGO RD STE E, LAS VEGAS, NV 89121-5208
- **Practice address phone:** (702) 565-6004
- **Mailing address:** 2950 E FLAMINGO RD STE E, LAS VEGAS, NV 89121-5208
- **Mailing address phone:** (702) 565-6004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2017
- **Last updated:** 08/28/2017