Organization
MEDICAL CENTER VEGAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSET FERNANDEZ ASTORGA (MANAGER)
(702) 665-2327
Entity
Organization
Contact information
Practice address
612 S JONES BLVD STE 106, LAS VEGAS, NV 89107-3613
(702) 806-8755
Mailing address
612 S JONES BLVD STE 106, LAS VEGAS, NV 89107-3613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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