Organization
NOVA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAILEN MATOS (OWNER)
(702) 666-3894
Entity
Organization
Contact information
Practice address
1404 S DECATUR BLVD, LAS VEGAS, NV 89102-8511
(702) 666-3894
(702) 666-3894
Mailing address
1404 S DECATUR BLVD, LAS VEGAS, NV 89102-8511
(702) 666-3894
(702) 666-3894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
10/22/2025
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