Organization
HC 168 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENDLEY GALICIA (PRACTICE MANAGER)
(702) 202-3777
Entity
Organization
Contact information
Practice address
2810 S RAINBOW BLVD STE B, LAS VEGAS, NV 89146-5150
(702) 202-3777
(702) 620-4036
Mailing address
2810 S RAINBOW BLVD STE B, LAS VEGAS, NV 89146-5150
(702) 202-3777
(702) 620-4036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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