Provider Demographics
NPI:1245950013
Name:V HEALTH CENTER LLC
Entity type:Organization
Organization Name:V HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VICERAL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-780-0454
Mailing Address - Street 1:9160 MOHAWK ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7508
Mailing Address - Country:US
Mailing Address - Phone:702-780-0454
Mailing Address - Fax:
Practice Address - Street 1:701 E BRIDGER AVE STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-5557
Practice Address - Country:US
Practice Address - Phone:702-885-4474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty