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Contact Information

PARAGON MEDICAL ALLIANCE LLC
3690 GRANT DR UNIT L2
RENO, NV89509-5476
 Phone: 775-527-3621
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for PARAGON MEDICAL ALLIANCE LLC

NPI # 1063236461
LBN Legal business name PARAGON MEDICAL ALLIANCE LLC
Authorized official MINMIN SONG - (OWNER/EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/12/2024
Last updated 11/12/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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