MEDICARE: JACQUELINE JEAN LEVENTHAL DO

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	207R00000X	Internal Medicine Physician	20A7189	CA
2	208M00000X	Hospitalist Physician	1020	NV
3	207R00000X	Internal Medicine Physician	1020	NV

General Provider Information

NPI Number	:	1245494731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE JEAN LEVENTHAL DO

Provider Business Mailing Address
First Line	:	7200 SMOKE RANCH ROAD
Second Line	:	#120
City	:	LAS VEGAS
State	:	NV
Zip	:	89128
Country	:	US
Telephone Number	:	702-362-0210
Fax Number	:	702-362-0339

Provider Business Practice Location Address
First Line	:	7200 SMOKE RANCH RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1116
Country	:	US
Telephone Number	:	702-570-6611
Fax Number	:

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

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	01/10/2022

Similar Medicare Providers

1871380535 — HOPE MELANIE PENALOSA APRN, FNP-BC
Practice Location Address:

7200 SMOKE RANCH RD STE 120
LAS VEGAS, NV
89128-1116

Practice Phone: 702-570-6611
Practice Fax:

1265411011 — DR. JOSEPH M BENDER M.D.
Practice Location Address:

121 E ROBINDALE RD
LAS VEGAS, NV
89123-1116

Practice Phone: 702-456-2885
Practice Fax: 702-436-4925

1699002105 — EXCEL HOME CARE AGENCY
Practice Location Address:

1116 TROPIC WIND AVE
NORTH LAS VEGAS, NV
89081-2985

Practice Phone: 702-743-7722
Practice Fax: 702-642-5722

1467761239 — CHARLENE M PRICE
Practice Location Address:

1116 MALIBU SANDS AVE
NORTH LAS VEGAS, NV
89086-1328

Practice Phone: 702-575-5238
Practice Fax: 702-649-6374

1780983577 — J & JS HOPE
Practice Location Address:

1116 MALIBU SANDS AVE
NORTH LAS VEGAS, NV
89086-1328

Practice Phone: 702-575-5238
Practice Fax: 702-649-6374

1841535960 — MRS. TAMURA M JAMISON
Practice Location Address:

1116 E EL CAMPO GRANDE AVE
N LAS VEGAS, NV
89081-4409

Practice Phone: 702-273-6209
Practice Fax:

Directions to “ JACQUELINE JEAN LEVENTHAL DO” 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 © 2007-2025 (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.