| Summerlin Medical | |
|
8350 W Sahara Ave 270 Las Vegas NV 89117-8939 | |
| (702) 243-8100 | |
| (702) 360-9416 |
| Full Name | Summerlin Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 8350 W Sahara Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Edward Hoffman (PRESIDENT) |
| Authorized Official Contact | 7022438100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summerlin Medical 8350 W Sahara Ave 270 Las Vegas NV 89117-8939 Ph: (702) 243-8100 | Summerlin Medical 8350 W Sahara Ave 270 Las Vegas NV 89117-8939 Ph: (702) 243-8100 |
| NPI Number | 1013241033 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 03/07/2012 |
| Medicare PECOS PAC ID | 5799821559 |
|---|---|
| Medicare Enrollment ID | O20091008000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013241033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS229 (Nevada) | Primary |
| Provider Name | Edward Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528184785 PECOS PAC ID: 4880730647 Enrollment ID: I20091008000005 |
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