Healthcare Provider Details

I. General information

NPI: 1326968983
Provider Name (Legal Business Name): SOUTHERN NEVADA TRAINING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E SAHARA AVE
LAS VEGAS NV
89104-2975
US

IV. Provider business mailing address

700 E SAHARA AVE
LAS VEGAS NV
89104-2975
US

V. Phone/Fax

Practice location:
  • Phone: 725-377-4940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: EDWIN PEREZ
Title or Position: OWNER
Credential:
Phone: 725-377-4940