Provider Demographics
NPI:1336164607
Name:ORNOPIA, SEBASTIAN L (MD)
Entity Type:Individual
Prefix:
First Name:SEBASTIAN
Middle Name:L
Last Name:ORNOPIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:889 S RAINBOW BLVD
Mailing Address - Street 2:#647
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-6238
Mailing Address - Country:US
Mailing Address - Phone:702-396-8834
Mailing Address - Fax:702-396-6550
Practice Address - Street 1:5460 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-396-8834
Practice Address - Fax:702-396-6550
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV114632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100507163Medicaid
NV101442Medicare PIN
NV100507163Medicaid