Luis Adalberto Moreno Jr, MD | |
3810 E Flamingo Rd, Las Vegas, NV 89121-6227 | |
(818) 515-7035 | |
Not Available |
Full Name | Luis Adalberto Moreno Jr |
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Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 3810 E Flamingo Rd, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477519163 | NPI | - | NPPES |
00A723090 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | A72309 (California) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 24727 (Nevada) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Luis Adalberto Moreno Jr, MD 11700 W Charleston Blvd, Las Vegas, NV 89135-1573 Ph: (818) 515-7035 | Luis Adalberto Moreno Jr, MD 3810 E Flamingo Rd, Las Vegas, NV 89121-6227 Ph: (818) 515-7035 |
Dr. Andrew E Sheep, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 542 Las Ocas Ct, Las Vegas, NV 89138 Phone: 267-209-3255 | |
William Chase Madsen, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-1958 | |
Dr. Kay E Mcmillan, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Shadow Ln, Las Vegas, NV 89106 Phone: 702-388-4500 | |
Timothy Vanduzer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N Rainbow Blvd, Suite 203, Las Vegas, NV 89107 Phone: 702-259-1228 Fax: 702-259-1272 | |
Dr. Henry R Landsman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10055 Canyon Hills Ave, Las Vegas, NV 89148 Phone: 702-497-0424 | |
Angel Li, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6655 S Cimarron Rd Ste 100, Las Vegas, NV 89113 Phone: 702-233-7481 | |
Dr. Roya Laura Mahana, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3186 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-961-5000 |