Healthcare Provider Details

I. General information

NPI: 1003663956
Provider Name (Legal Business Name): OREYA GAZALA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date: 10/20/2025
Reactivation Date: 11/14/2025

III. Provider practice location address

8685 S EASTERN AVE
LAS VEGAS NV
89123-2839
US

IV. Provider business mailing address

5670 AUTUMN CLIFFS WAY
LAS VEGAS NV
89118-6104
US

V. Phone/Fax

Practice location:
  • Phone: 702-530-3731
  • Fax:
Mailing address:
  • Phone: 702-245-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: