MEDICARE: COMPREHENSIVE HEALTHCARE SERVICES 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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1629805528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	4322 LUCAS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-4210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2235 E FLAMINGO RD STE 118
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0800
Country	:	US
Telephone Number	:	702-906-3898
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALBERTO ANDINO TRABA
Credential	:
Telephone Number	:	702-906-3898

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	09/16/2024

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