| Faith Medical Clinic, Llc. | |
|
3510 E Tropicana Ave Ste K Las Vegas NV 89121-7341 | |
| (702) 466-0069 | |
| (702) 433-1815 |
| Full Name | Faith Medical Clinic, Llc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3510 E Tropicana Ave Ste K, Las Vegas, Nevada |
| Authorized Official Name and Position | Daniel Moncada (MANAGER) |
| Authorized Official Contact | 7029023039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Medical Clinic, Llc. 3510 E Tropicana Ave Ste K Las Vegas NV 89121-7341 Ph: (702) 466-0069 | Faith Medical Clinic, Llc. 3510 E Tropicana Ave Ste K Las Vegas NV 89121-7341 Ph: (702) 466-0069 |
| NPI Number | 1700485083 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 10/19/2020 |
| Medicare PECOS PAC ID | 7315352929 |
|---|---|
| Medicare Enrollment ID | O20210212000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700485083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pamela Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235584772 PECOS PAC ID: 5698062172 Enrollment ID: I20160927002226 |
| Provider Name | Jhouleen Angelika Tam Tiamzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306451471 PECOS PAC ID: 7315352937 Enrollment ID: I20210212000672 |
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