| Sal-leo Inc. | |
|
3100 W Charleston Blvd Ste 205 Las Vegas NV 89102-1900 | |
| (702) 258-4469 | |
| (702) 259-0239 |
| Full Name | Sal-leo Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3100 W Charleston Blvd Ste 205, Las Vegas, Nevada |
| Authorized Official Name and Position | Francis Escolin Jimenez (OWNER) |
| Authorized Official Contact | 7022854469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sal-leo Inc. 3100 W Charleston Blvd Ste 205 Las Vegas NV 89102-1900 Ph: (702) 258-4469 | Sal-leo Inc. 3100 W Charleston Blvd Ste 205 Las Vegas NV 89102-1900 Ph: (702) 258-4469 |
| NPI Number | 1629250881 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 02/07/2014 |
| Medicare PECOS PAC ID | 1456243450 |
|---|---|
| Medicare Enrollment ID | O20040325001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629250881 | NPI | - | NPPES |
| 9268 | Other | NV | STATE LICENSE |
| 002018621 | Medicaid | NV | |
| G57380 | Other | NV | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9268 (Nevada) | Primary |
| Provider Name | Francis Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346329851 PECOS PAC ID: 4789577693 Enrollment ID: I20041227000369 |
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