Provider Demographics
NPI:1659833192
Name:FILOSA, CHRISTOPHER
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:FILOSA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MOUNTAINVIEW HOSPITAL GME
Mailing Address - Street 2:3100 N. TENAYA WAY
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128
Mailing Address - Country:US
Mailing Address - Phone:702-962-3100
Mailing Address - Fax:561-548-1743
Practice Address - Street 1:MOUNTAINVIEW HOSPITAL GME
Practice Address - Street 2:3100 N. TENAYA WAY
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-962-3100
Practice Address - Fax:561-548-1743
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-03
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health