MEDICARE: V HEALTH CENTER LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1245950013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	V HEALTH CENTER LLC

Provider Business Mailing Address
First Line	:	9160 MOHAWK ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7508
Country	:	US
Telephone Number	:	702-780-0454
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 E BRIDGER AVE STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-5557
Country	:	US
Telephone Number	:	702-885-4474
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CRISTINA VICERAL
Credential	:	APRN
Telephone Number	:	702-780-0454

Provider Enumeration Date	:	08/31/2022
Last Update Date	:	08/31/2022

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Directions to “V HEALTH CENTER LLC ” Practice Location

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