Individual
LEILA D BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1825 E WARM SPRINGS RD, LAS VEGAS, NV 89119-4547
(702) 361-4873
(702) 838-0997
Mailing address
889 S RAINBOW BLVD # 125, LAS VEGAS, NV 89145-6238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1672
NV
363A00000X
Physician Assistant
PA23108
CA
363AM0700X
Medical Physician Assistant
Primary
PA1672
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V52366
MEDICARE PTAN
NV
Enumeration date
08/07/2013
Last updated
01/18/2022
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