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.
Organization
JORGENSON & KOKA LLP
Active
Organization
JORGENSON & KOKA LLP
Active
Other names
AFFILIATED PRIMARY CARE & REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
QUENNIE GARCIA MANUEL (ADMINISTRATOR)
(702) 492-7208
Entity
Organization
Contact information
Practice address
2201 E POSTAL RD., SUITE 9, PAHRUMP, NV 89048
(702) 963-6363
(702) 616-0657
Mailing address
9975 S EASTERN AVE, SUITE 110, LAS VEGAS, NV 89183-7949
(702) 963-6363
(702) 616-0657
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669923827
—
NV
Enumeration date
10/21/2016
Last updated
01/04/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers