| Va | |
|
916 W. Owens Ave. Las Vegas Nv 89036 Las Vegas NV 89117 | |
| (702) 636-3000 | |
| Not Available |
| Full Name | Va |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 916 W. Owens Ave. Las Vegas Nv 89036, Las Vegas, Nevada |
| Authorized Official Name and Position | Mojtaba R Motlagh (PSYCHIATIST) |
| Authorized Official Contact | 70263630000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Va 2131 Americas Cup Cir Las Vegas NV 89117-1925 Ph: (702) 324-5084 | Va 916 W. Owens Ave. Las Vegas Nv 89036 Las Vegas NV 89117 Ph: (702) 636-3000 |
| NPI Number | 1073523221 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073523221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 5494 (Nevada) | Primary |
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