Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Other names
Nevada Cancer Institute, an affiliate of UCSD
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
MR. MICKEY GOLDMAN FACHE (PRESIDENT/CEO)
(702) 821-0005
Entity
Organization
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 822-5433
(702) 944-0453
Mailing address
1 BREAKTHROUGH WAY, LAS VEGAS, NV 89135-3011
(702) 822-5433
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NV
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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