Provider Demographics
NPI:1396583134
Name:INSTANT CARE MEDICAL GROUP LLC
Entity type:Organization
Organization Name:INSTANT CARE MEDICAL GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MELLONY
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:MELENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-343-7272
Mailing Address - Street 1:2208 S NELLIS BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-6211
Mailing Address - Country:US
Mailing Address - Phone:702-798-7770
Mailing Address - Fax:702-895-7776
Practice Address - Street 1:2208 S NELLIS BLVD STE 5
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-6211
Practice Address - Country:US
Practice Address - Phone:702-798-7777
Practice Address - Fax:702-895-7776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty