Organization
EDELSTEIN MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DOCTOR (ADMINISTRATOR)
(323) 697-9545
Entity
Organization
Contact information
Practice address
8205 WEST WARM SPRINGS ROAD, LAS VEGAS, NV 89113
(702) 735-8734
(702) 735-2726
Mailing address
8205 WEST WARM SPRINGS ROAD, LAS VEGAS, NV 89113
(702) 735-8734
(702) 735-2726
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
2085B0100X
Body Imaging Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
01/07/2011
Last updated
10/17/2011
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