# JORGENSON & KOKA LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED URGENT CARE & NIGHLIGHT PEDIATRICS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457382863
- **Authorized official:** CRAIG M JORGENSON MD (MANAGING MEMBER)
- **Authorized official phone:** (702) 492-7208

## Contact information

- **Practice address:** 9975 S EASTERN AVE, SUITE 110, LAS VEGAS, NV 89183-7949
- **Practice address phone:** (702) 361-2273
- **Practice address fax:** (702) 616-0657
- **Mailing address:** PO BOX 530010, HENDERSON, NV 89053-0010
- **Mailing address phone:** (702) 492-7208
- **Mailing address fax:** (702) 616-0657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 1915 | NV | — |
| 207Q00000X | Family Medicine Physician | 1001 | NV | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 1915 | NV | — |
| 2083T0002X | Medical Toxicology (Preventive Medicine) Physician | 9529 | NV | — |
| 2083X0100X | Occupational Medicine Physician | 1001 | NV | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 247100000X | Radiologic Technologist | — | NULL | — |
| 247100000X | Radiologic Technologist | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 10/10/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100508145 | — | NV |