Organization
CANYON GATE MEDICAL GROUP, LLC
Active
Organization
CANYON GATE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKI MOSKOW (PRESIDENT)
(954) 656-8855
Entity
Organization
Contact information
Practice address
3960 W. CRAIG ROAD, SUITE # 102, LAS VEGAS, NV 89031
(702) 473-8380
(702) 473-8383
Mailing address
2929 N UNIVERSITY DR, SUITE # 110, CORAL SPRINGS, FL 33065-5081
(954) 656-8855
(954) 656-8856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12804
NV
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up