Provider Demographics
NPI:1780863274
Name:DR PAULIN MEDICAL CENTER
Entity Type:Organization
Organization Name:DR PAULIN MEDICAL CENTER
Other - Org Name:MR SEBASTIAN M PAULIN JR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:SEBASTIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PAULIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-892-9283
Mailing Address - Street 1:620 E TWAIN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-4115
Mailing Address - Country:US
Mailing Address - Phone:702-892-9283
Mailing Address - Fax:702-892-0936
Practice Address - Street 1:620 E TWAIN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-4115
Practice Address - Country:US
Practice Address - Phone:702-892-9283
Practice Address - Fax:702-892-0936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6895302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization