Healthcare Provider Details

I. General information

NPI: 1114287760
Provider Name (Legal Business Name): CIMA PAIN MANAGEMENT AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2012
Last Update Date: 05/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 S RAINBOW BLVD STE 101
LAS VEGAS NV
89146-9047
US

IV. Provider business mailing address

PO BOX 36340
LAS VEGAS NV
89133-6340
US

V. Phone/Fax

Practice location:
  • Phone: 702-476-2287
  • Fax: 702-476-2035
Mailing address:
  • Phone: 702-476-2287
  • Fax: 702-476-2035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT JOSEPH WEBB
Title or Position: MANAGING MEMBER
Credential: PA-C
Phone: 702-476-2287