# IRIYE MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IRIYE MEDICAL GROUP PLLC
- **Other names:** High Risk Pregnancy Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467496240
- **Legal business name:** IRIYE MEDICAL GROUP PLLC
- **Authorized official:** KIM MANDUJANO (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (702) 382-3200

## Contact information

- **Practice address:** 2011 PINTO LANE, SUITE 200, LAS VEGAS, NV 89106
- **Practice address phone:** (702) 382-3200
- **Practice address fax:** (702) 382-3575
- **Mailing address:** 2011 PINTO LANE, SUITE 200, LAS VEGAS, NV 89106
- **Mailing address phone:** (702) 382-3200
- **Mailing address fax:** (702) 382-3575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 06/15/2023