Provider Demographics
NPI:1659377281
Name:GALINDO, CESAR A SR (SUPPLIER)
Entity Type:Individual
Prefix:MR
First Name:CESAR
Middle Name:A
Last Name:GALINDO
Suffix:SR
Gender:M
Credentials:SUPPLIER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 E SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3843
Mailing Address - Country:US
Mailing Address - Phone:702-457-5485
Mailing Address - Fax:702-457-5516
Practice Address - Street 1:1924 E SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3843
Practice Address - Country:US
Practice Address - Phone:702-457-5485
Practice Address - Fax:702-457-5516
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMP00099183700000X
NV2439332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003302028Medicaid