DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MEDICAL GROUP LLC

MEDICARE: MEDICAL GROUP 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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician12103NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1207RG0600XOTHERTAXONOMY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31215009782OTHERNVNPI

General Provider Information

NPI Number : 1366681538
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL GROUP LLC
Provider Business Mailing Address
First Line : 9315 W SUNSET RD
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89148-5011
Country : US
Telephone Number : 702-638-7705
Fax Number : 702-638-7706
Provider Business Practice Location Address
First Line : 9315 W SUNSET RD
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89148-5011
Country : US
Telephone Number : 702-638-7705
Fax Number : 702-638-7706
Authorized Official
Title or Position : OWNER
Name : DR. ROLAND JAYSON PUA
Credential : M.D.
Telephone Number : 702-638-7705
Provider Enumeration Date : 02/11/2009
Last Update Date : 10/07/2016

Similar Medicare Providers

1164779906 — ANCILE PALLIATIVE CARE, INC
Practice Location Address:
9315 W SUNSET RD , SUITE 101-C
LAS VEGAS, NV
89148-5011
Practice Phone: 702-985-1944
Practice Fax: 702-405-0161
1669852042 — MAI FAMILY HEALTH CLINIC LLC
Practice Location Address:
9315 W SUNSET RD , 100
LAS VEGAS, NV
89148-5011
Practice Phone: 702-480-2044
Practice Fax: 702-638-7706
1083629042 — WALGREEN CO
Practice Location Address:
5011 E SAHARA AVE
LAS VEGAS, NV
89142-2911
Practice Phone: 702-432-5633
Practice Fax:
1437432382 — GIA QUOC NGUYEN RPH
Practice Location Address:
5011 E SAHARA AVE
LAS VEGAS, NV
89142-2911
Practice Phone: 702-432-5633
Practice Fax:
1609150119 — TUAN VU
Practice Location Address:
5011 E SAHARA AVE
LAS VEGAS, NV
89142-2911
Practice Phone: 702-432-5633
Practice Fax: 702-432-5637
1639453731 — MR. BRANDON MALICKI
Practice Location Address:
5011 E SAHARA AVE
LAS VEGAS, NV
89142-2911
Practice Phone: 702-432-5633
Practice Fax: 702-432-5637

Directions to “MEDICAL GROUP LLC ” 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.