| Desertbloom Medical Llc | |
|
931 S 3rd St Las Vegas NV 89101-6801 | |
| (725) 256-8020 | |
| Not Available |
| Full Name | Desertbloom Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 931 S 3rd St, Las Vegas, Nevada |
| Authorized Official Name and Position | Asya Hovhannisyan (OWNER) |
| Authorized Official Contact | 7252568020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desertbloom Medical Llc 931 S 3rd St Las Vegas NV 89101-6801 Ph: (725) 256-8020 | Desertbloom Medical Llc 931 S 3rd St Las Vegas NV 89101-6801 Ph: (725) 256-8020 |
| NPI Number | 1376323550 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/22/2024 |
| Medicare PECOS PAC ID | 5597105411 |
|---|---|
| Medicare Enrollment ID | O20240425002472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376323550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lili S Lero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821425596 PECOS PAC ID: 8527288968 Enrollment ID: I20141006002352 |
| Provider Name | David Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568640159 PECOS PAC ID: 4082903067 Enrollment ID: I20160513001436 |
| Provider Name | Dithra Ann Cotton-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487159182 PECOS PAC ID: 0749539161 Enrollment ID: I20180817002985 |
| Provider Name | Lisa M Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619536844 PECOS PAC ID: 7214261973 Enrollment ID: I20190628002678 |
| Provider Name | Patricia K Im |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528655412 PECOS PAC ID: 4082009352 Enrollment ID: I20220323001916 |
Medical Group At Sun City, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-240-8155 Fax: 702-240-8161 | |
Viren B Patel Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7010 Smoke Ranch Rd, Suite 120, Las Vegas, NV 89128 Phone: 702-477-7044 Fax: 702-259-4843 | |
Shari Klein Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8571 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128 Phone: 702-545-0283 Fax: 702-545-0285 | |
Ardeshir Rohani Md Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3824 S Jones Blvd Ste A, Las Vegas, NV 89103 Phone: 702-463-3000 Fax: 702-463-3000 | |
Mai Health And Beauty Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6771 W Charleston Blvd, Ste. B, Las Vegas, NV 89146 Phone: 702-480-2044 | |
Rebecca Garcia Fnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183 Phone: 435-896-7944 | |
Bedrock Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2235 E Flamingo Rd Ste 144, Las Vegas, NV 89119 Phone: 702-272-9500 |