# SOLACE MEDICAL CENTER CORP

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

## Provider details

- **NPI number:** 1275497471
- **Authorized official:** LIU CHIONG RIVERO (ADMINISTRATOR)
- **Authorized official phone:** (702) 319-4291

## Contact information

- **Practice address:** 3430 E FLAMINGO RD STE 202, LAS VEGAS, NV 89121-5064
- **Practice address phone:** (702) 319-4291
- **Mailing address:** 3430 E FLAMINGO RD STE 202, LAS VEGAS, NV 89121-5064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2025
- **Last updated:** 12/11/2025
