| Procare Medical Group Llc | |
|
6870 S Rainbow Blvd Suite 106 & 107 Las Vegas NV 89118-2106 | |
| (702) 396-6000 | |
| (702) 396-6001 |
| Full Name | Procare Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6870 S Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Amber Gantz (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7023966000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Procare Medical Group Llc 6870 S Rainbow Blvd Suite 106 & 107 Las Vegas NV 89118-2106 Ph: (702) 396-6000 | Procare Medical Group Llc 6870 S Rainbow Blvd Suite 106 & 107 Las Vegas NV 89118-2106 Ph: (702) 396-6000 |
| NPI Number | 1366618019 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 7012061732 |
|---|---|
| Medicare Enrollment ID | O20090814000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366618019 | NPI | - | NPPES |
| 12502 | Other | NV | LICENSE NUMBER |
| Provider Name | Victor Y Chou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164424867 PECOS PAC ID: 5799712048 Enrollment ID: I20050719000798 |
| Provider Name | Warren W Magnus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376767673 PECOS PAC ID: 6204911456 Enrollment ID: I20080312000052 |
| Provider Name | Ola E Eisa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184806135 PECOS PAC ID: 6507942257 Enrollment ID: I20081104000649 |
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