| Nevada State Family Services Llc | |
|
4760 S Pecos Rd Ste 103-25 Las Vegas NV 89121-6038 | |
| (702) 683-8987 | |
| Not Available |
| Full Name | Nevada State Family Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4760 S Pecos Rd Ste 103-25, Las Vegas, Nevada |
| Authorized Official Name and Position | Estrella Salazar (CEO) |
| Authorized Official Contact | 7026838987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada State Family Services Llc 3053 W Craig Rd Unit E-288 North Las Vegas NV 89032-5124 Ph: () - | Nevada State Family Services Llc 4760 S Pecos Rd Ste 103-25 Las Vegas NV 89121-6038 Ph: (702) 683-8987 |
| NPI Number | 1649949124 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 09/14/2021 |
| Medicare PECOS PAC ID | 3375935307 |
|---|---|
| Medicare Enrollment ID | O20220124002763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649949124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Charles George Mahakian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881780724 PECOS PAC ID: 7315972361 Enrollment ID: I20050928001373 |
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