Provider Demographics
NPI:1881309227
Name:IHEALTH MEDICAL CLINIC
Entity type:Organization
Organization Name:IHEALTH MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REYNANTE
Authorized Official - Middle Name:P
Authorized Official - Last Name:VILLAHERMOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-885-6457
Mailing Address - Street 1:6330 W FLAMINGO RD UNIT 106
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-2234
Mailing Address - Country:US
Mailing Address - Phone:702-918-2800
Mailing Address - Fax:702-947-5352
Practice Address - Street 1:6330 W FLAMINGO RD UNIT 106
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-2234
Practice Address - Country:US
Practice Address - Phone:702-885-6457
Practice Address - Fax:702-701-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty