Organization
CJ MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ENRIQUE JIMENEZ POZO APRN-CNP (CEO)
(725) 247-4519
Entity
Organization
Contact information
Practice address
835 SOUTH BOULDER HIGHWAY #335, HENDERSON, NV 89015-1739
(702) 551-4608
Mailing address
835 SOUTH BOULDER HIGHWAY #335, HENDERSON, NV 89015-1739
(702) 551-4608
(725) 215-9309
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215579602
NPI
—
Enumeration date
02/23/2023
Last updated
09/03/2024
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