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Organization
MEDICOTEK INC
Active
Organization
MEDICOTEK INC
Active
Parent organization
MEDICOTEK INC
Other names
OPTIMA HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICOTEK INC
Authorized official
MARIVIC LUNA BANAL (DIRECTOR)
(702) 778-4838
Entity
Organization
Contact information
Practice address
6859 S EASTERN AVE STE 103, LAS VEGAS, NV 89119-0003
(702) 778-4838
Mailing address
6859 S EASTERN AVE STE 103, LAS VEGAS, NV 89119-0003
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QR0200X
Radiology Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
10/27/2021
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