Organization
PEDIATRIC SUB-SPECIALISTS OF NEVADA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN M PLASENCIA (VICE PRESIDENT)
(858) 583-2169
Entity
Organization
Contact information
Practice address
3131 LA CANADA ST STE 230, LAS VEGAS, NV 89169-2551
(702) 732-1290
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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