Healthcare Provider Details

I. General information

NPI: 1295661791
Provider Name (Legal Business Name): NEIGHBORHOOD CLINIC NV LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 N WILMOT RD BLDG 3
TUCSON AZ
85712
US

IV. Provider business mailing address

8488 ROZITA LEE AVE STE 100
LAS VEGAS NV
89113-4772
US

V. Phone/Fax

Practice location:
  • Phone: 520-470-0727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TRENT HOFMOCKEL
Title or Position: PRESIDENT
Credential:
Phone: 702-425-8105