Organization
GOLDWYN INTEGRATED MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABELLE SABALONES (PRESIDENT)
(760) 220-1991
Entity
Organization
Contact information
Practice address
2785 E DESERT INN RD STE 150, LAS VEGAS, NV 89121-3699
(760) 220-1991
Mailing address
2785 E DESERT INN RD STE 150, LAS VEGAS, NV 89121-3699
(760) 220-1991
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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