Healthcare Provider Details

I. General information

NPI: 1285807537
Provider Name (Legal Business Name): ALLERGY & ASTHMA CENTER-KATZ, M.D., LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 09/02/2025
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 BOX CANYON DR
LAS VEGAS NV
89128-0450
US

IV. Provider business mailing address

2625 BOX CANYON DR
LAS VEGAS NV
89128-0450
US

V. Phone/Fax

Practice location:
  • Phone: 702-360-6100
  • Fax: 702-360-8096
Mailing address:
  • Phone: 702-360-6100
  • Fax: 702-360-8096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number8163
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON BELLAK
Title or Position: OWNER
Credential: MD
Phone: 702-360-6100