# IMPERIAL EXCELL CARE MEDICAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619519022
- **Authorized official:** JOSE IMPERIAL (OWNER)
- **Authorized official phone:** (702) 239-1592

## Contact information

- **Practice address:** 4055 SPENCER ST STE 131, LAS VEGAS, NV 89119-5251
- **Practice address phone:** (702) 258-1384
- **Practice address fax:** (702) 258-1387
- **Mailing address:** 4055 SPENCER ST STE 131, LAS VEGAS, NV 89119-5251
- **Mailing address phone:** (702) 258-1384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2019
- **Last updated:** 03/29/2026