Organization
ACT MEDICAL GROUP-LAS VEGAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA V MACAHIA (SECRETARY)
(213) 476-9619
Entity
Organization
Contact information
Practice address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(213) 476-9619
Mailing address
11245 DELANO ST, NORTH HOLLYWOOD, CA 91606
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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