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Organization

OPTUM MEDICAL GROUP RHODES P C

Active
Other names
Optumcare Anesthesia, Pacific Anesthesia Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR)
(702) 480-2550
Entity
Organization

Contact information

Practice address
2450 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 877-8616
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100500024
NV
05
168645002
AR
05
200358840A
KS
05
7137565
WA
05
95820825
NM
01
CN3300
RR MEDICARE
05
XGG007650
CA
Enumeration date
02/08/2006
Last updated
02/25/2026
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