Organization Name: | COMPREHENSIVE MEDICAL CENTER |
NPI Number: | 1174503429 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID RIVAS (CMO) |
Mailing Address: | 98 E Lake Mead Pkwy # 301 Henderson |
State: | NV US |
Postal Code: | 89015 |
Phone Number: | 7025770543 |
Fax Number: | 5155834374 |
NPI Enumeration Date: | 01/20/2006 |
NPI Last Update Date: | 04/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0926 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |