Provider Demographics
NPI:1558136838
Name:LIMITLESS MEDICAL GROUP TACVORIAN FAZLINEJAD PLLC
Entity Type:Organization
Organization Name:LIMITLESS MEDICAL GROUP TACVORIAN FAZLINEJAD PLLC
Other - Org Name:LIMITLESS MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAZLINEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:310-966-0397
Mailing Address - Street 1:6545 S FORT APACHE RD STE 135
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-6758
Mailing Address - Country:US
Mailing Address - Phone:702-358-0440
Mailing Address - Fax:702-430-9669
Practice Address - Street 1:9333 W SUNSET RD STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4845
Practice Address - Country:US
Practice Address - Phone:702-358-0440
Practice Address - Fax:702-430-9669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty