Organization
SPRING MOUNTAIN MEDICAL CENTER PLLC
Active
Organization
SPRING MOUNTAIN MEDICAL CENTER PLLC
Active
Other names
RAFAEL OKAMOTO
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL OKAMOTO MD (OWNER)
(714) 376-7853
Entity
Organization
Contact information
Practice address
2810 W CHARLESTON BLVD STE G64, LAS VEGAS, NV 89102-1921
(702) 899-3039
Mailing address
4276 SPRING MOUNTAIN RD UNIT 211, LAS VEGAS, NV 89102-8781
(702) 899-3039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235281874
—
NV
Enumeration date
05/12/2020
Last updated
09/27/2025
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