# TOTAL CARE MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1306462742
- **Authorized official:** JOHN DOBLE (ADMINISTRATOR)
- **Authorized official phone:** (310) 408-8714

## Contact information

- **Practice address:** 6040 S DURANGO DR STE 115, LAS VEGAS, NV 89113-1792
- **Practice address phone:** (310) 408-8714
- **Mailing address:** 3358 HILLSIDE GARDEN DR, LAS VEGAS, NV 89135-2829
- **Mailing address phone:** (310) 408-8714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/22/2020
- **Last updated:** 06/22/2020