| Ahf | |
|
3201 S Maryland Pkwy Ste 218 Las Vegas NV 89109-2424 | |
| (702) 862-8075 | |
| (702) 862-8077 |
| Full Name | Ahf |
|---|---|
| Speciality | Internal Medicine |
| Location | 3201 S Maryland Pkwy Ste 218, Las Vegas, Nevada |
| Authorized Official Name and Position | Lyle Honig Mojica (CFO) |
| Authorized Official Contact | 3238605305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahf 6255 W Sunset Blvd Fl 21 Los Angeles CA 90028-7422 Ph: () - | Ahf 3201 S Maryland Pkwy Ste 218 Las Vegas NV 89109-2424 Ph: (702) 862-8075 |
| NPI Number | 1447876156 |
|---|---|
| Provider Enumeration Date | 06/18/2020 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 2668369109 |
|---|---|
| Medicare Enrollment ID | O20140401001219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447876156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Warren W Magnus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376767673 PECOS PAC ID: 6204911456 Enrollment ID: I20080312000052 |
| Provider Name | Angelica Castillo Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306382213 PECOS PAC ID: 3173875572 Enrollment ID: I20181012002213 |
| Provider Name | Rebecca I Campalans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750921920 PECOS PAC ID: 5991134298 Enrollment ID: I20200408001912 |
| Provider Name | Romulus Darden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962033530 PECOS PAC ID: 6709205479 Enrollment ID: I20201008003463 |
| Provider Name | Brooke Mantie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558032532 PECOS PAC ID: 5395107585 Enrollment ID: I20230821001753 |
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