MEDICARE: NV HEALTHCARE 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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1932837218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NV HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	30439 MAHOGANY ST
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-3533
Country	:	US
Telephone Number	:	951-581-0723
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 RAYMERT DR # 21
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3247
Country	:	US
Telephone Number	:	702-927-3230
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ANDY KHUONG NGUYEN
Credential	:	NP
Telephone Number	:	951-581-0723

Provider Enumeration Date	:	08/12/2022
Last Update Date	:	08/26/2022

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Directions to “NV HEALTHCARE LLC ” Practice Location

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