MEDICARE: DR. LEONARDO ALDECOA GAN-LIM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	10945	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	V72607	OTHER	NV	MEDICARE

General Provider Information

NPI Number	:	1134180839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARDO ALDECOA GAN-LIM M.D.

Provider Business Mailing Address
First Line	:	2654 TOPAZ BLUE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5490
Country	:	US
Telephone Number	:	702-461-2707
Fax Number	:

Provider Business Practice Location Address
First Line	:	653 N TOWN CENTER DR STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-0515
Country	:	US
Telephone Number	:	702-805-2435
Fax Number	:	702-485-2812

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	03/15/2023

Similar Medicare Providers

1992809412 — POKROY MEDICAL GROUP OF NEVADA, LTD.
Practice Location Address:

653 N TOWN CENTER DR STE 112
LAS VEGAS, NV
89144-0515

Practice Phone: 702-733-0981
Practice Fax: 27-339-7517

1679631014 — DR. STEVEN LEIBOWITZ M.D.
Practice Location Address:

653 N TOWN CENTER DR STE 102
LAS VEGAS, NV
89144-0515

Practice Phone: 702-242-5555
Practice Fax: 702-255-9308

1720110190 — WILLIAM NEAL EVANS, MD, LTD
Practice Location Address:

653 N TOWN CENTER DR STE 114
LAS VEGAS, NV
89144-0515

Practice Phone: 702-732-1290
Practice Fax: 702-732-1385

1841472438 — FOLUKE ADEYINKA UCHE MD
Practice Location Address:

653 N TOWN CENTER DR STE 106
LAS VEGAS, NV
89144-0515

Practice Phone: 702-844-4842
Practice Fax: 702-844-4845

1740445667 — DR. JAYDEE R. LUMBAD MD
Practice Location Address:

653 N TOWN CENTER DR, BUILDING 2, STE 112
LAS VEGAS, NV
89144-0515

Practice Phone: 702-530-7915
Practice Fax: 702-925-9694

1710129549 — MOUNTAIN PODIATRY
Practice Location Address:

653 N TOWN CENTER DR STE 118
LAS VEGAS, NV
89144-0515

Practice Phone: 702-240-8038
Practice Fax: 702-240-2256

Directions to “ DR. LEONARDO ALDECOA GAN-LIM M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.