# C. I. GARAYCOCHEA MD PROF CORP

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

## Provider details

- **NPI number:** 1568893972
- **Authorized official:** CHRISTIAN I GARAYCOCHEA MD (CEO)
- **Authorized official phone:** (702) 487-6510

## Contact information

- **Practice address:** 3153 E WARM SPRINGS RD, \#300,, LAS VEGAS, NV 89120
- **Practice address phone:** (702) 487-6510
- **Practice address fax:** (702) 405-7960
- **Mailing address:** PO BOX 93358, LAS VEGAS, NV 89120
- **Mailing address phone:** (702) 487-6510
- **Mailing address fax:** (702) 405-7960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 13797 | NV | Yes |

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 08/27/2014