MEDICARE: CONGRUENCE BILLING AND MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1356189930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONGRUENCE BILLING AND MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	6881 W CHARLESTON BLVD STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1673
Country	:	US
Telephone Number	:	702-802-8411
Fax Number	:

Provider Business Practice Location Address
First Line	:	6881 W CHARLESTON BLVD STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1673
Country	:	US
Telephone Number	:	702-802-8411
Fax Number	:

Authorized Official
Title or Position	:	OWNER/AUTHORIZED OFFICIAL
Name	:	LOUVELENE HAGOPIAN
Credential	:
Telephone Number	:	702-525-7320

Provider Enumeration Date	:	07/17/2024
Last Update Date	:	07/17/2024

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