Healthcare Provider Details

I. General information

NPI: 1194707547
Provider Name (Legal Business Name): CLIFFORD JOEL MOLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 CLIFF SHADOWS PKWY STE 250
LAS VEGAS NV
89129-5112
US

IV. Provider business mailing address

PO BOX 36310
LAS VEGAS NV
89133-6310
US

V. Phone/Fax

Practice location:
  • Phone: 702-382-1599
  • Fax: 702-240-4962
Mailing address:
  • Phone: 702-382-1599
  • Fax: 702-240-4962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9580
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number9580
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: