Organization
GUADALUPE MEDICAL CENTER/OKAMOTO MD PC
Active
Other names
Guadalupe Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ALDANA (ADMINISTRATOR)
(702) 633-5410
Entity
Organization
Contact information
Practice address
1219 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1708
(702) 633-5410
(702) 320-1639
Mailing address
1219 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1708
(702) 633-5410
(702) 320-1639
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500942
—
NV
Enumeration date
06/02/2006
Last updated
05/10/2017
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