| Vitalvida Primary Care | |
|
2820 W Charleston Blvd # D40 Las Vegas NV 89102-1942 | |
| (915) 292-9621 | |
| Not Available |
| Full Name | Vitalvida Primary Care |
|---|---|
| Speciality | Clinic/center |
| Location | 2820 W Charleston Blvd # D40, Las Vegas, Nevada |
| Authorized Official Name and Position | Giovanni Valenzuela (OWNER) |
| Authorized Official Contact | 9152929621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalvida Primary Care 2820 W Charleston Blvd # D40 Las Vegas NV 89102-1942 Ph: () - | Vitalvida Primary Care 2820 W Charleston Blvd # D40 Las Vegas NV 89102-1942 Ph: (915) 292-9621 |
| NPI Number | 1326886433 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326886433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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