Organization
ORTHOPEDICS & SPORTS MEDICINE LLC
Active
Other names
Knee and Shoulder Institute
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELINA SIMON (BUSINESS OFFICE MANAGER)
(702) 933-9393
Entity
Organization
Contact information
Practice address
9499 W CHARLESTON BLVD, STE 200, LAS VEGAS, NV 89117-7147
(702) 933-9393
(702) 933-6789
Mailing address
PO BOX 97618, LAS VEGAS, NV 89193-7618
(702) 933-9393
(702) 933-6789
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/22/2005
Last updated
12/02/2025
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