Organization
ERMOCILLA PC
Active
Other names
Renaissance Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEATRIZ ANG-ERMOCILLA MD (OWNER)
(718) 344-6298
Entity
Organization
Contact information
Practice address
2870 S MARYLAND PKWY, LAS VEGAS, NV 89109-5031
(718) 344-3446
Mailing address
7508 VIA SIGNORELLI ST, LAS VEGAS, NV 89131-0125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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