MEDICARE: MENELEO S JAOJOCO MD

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	207Q00000X	Family Medicine Physician	7076	NV

General Provider Information

NPI Number	:	1376695080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MENELEO S JAOJOCO MD

Provider Business Mailing Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:	501
City	:	LAS VEGAS
State	:	NV
Zip	:	89102
Country	:	US
Telephone Number	:	702-383-2688
Fax Number	:	702-671-6595

Provider Business Practice Location Address
First Line	:	4180 S RAINBOW SUITE 810
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103
Country	:	US
Telephone Number	:	702-383-3645
Fax Number	:	702-227-8429

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/08/2007

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