LAS VEGAS INTERNATIONAL CENTER FOR ADVANCE GYNECOLOGIC CARE; NPI #1184835993

Contact Information

LAS VEGAS INTERNATIONAL CENTER FOR ADVANCE GYNECOLOGIC CARE

3150 N TENAYA WAY
270
LAS VEGAS, NV 89128-0443

Phone: 702-798-3008
Fax: 702-869-4763
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for LAS VEGAS INTERNATIONAL CENTER FOR ADVANCE GYNECOLOGIC CARE

NPI Number 1184835993

LBN Legal business name LAS VEGAS INTERNATIONAL CENTER FOR ADVANCE GYNECOLOGIC CARE

Authorized official RICHARD CHUDACOFF - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/24/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

12108

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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