MEDICARE: TRIDUUM HEALTH CARE 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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1740900059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIDUUM HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	2301 E SUNSET RD STE 7
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4933
Country	:	US
Telephone Number	:	725-204-7533
Fax Number	:	725-214-7240

Provider Business Practice Location Address
First Line	:	2301 E SUNSET RD STE 7
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4933
Country	:	US
Telephone Number	:	725-204-7533
Fax Number	:	725-214-7240

Authorized Official
Title or Position	:	PHYSICIAN ASSISTANT/ OWNER
Name	:	ANDINWOH OROCK
Credential	:	PA
Telephone Number	:	702-292-3578

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	08/29/2022

Similar Medicare Providers

1427122985 — STUART LINDSEY PHARMD
Practice Location Address:

2301 E SUNSET RD
LAS VEGAS, NV
89119-4933

Practice Phone: 702-631-8800
Practice Fax: 702-361-6633

1750442570 — VILLAGE EAST DRUG
Practice Location Address:

2301 E SUNSET RD
LAS VEGAS, NV
89119-4933

Practice Phone: 702-361-8800
Practice Fax: 702-361-6633

1033460282 — MRS. KAYLA ELIZABETH BUCHANAN
Practice Location Address:

4933 IVYLYN CT
LAS VEGAS, NV
89122-0826

Practice Phone: 774-272-2600
Practice Fax:

1922438670 — INFINITY FAMILY SERVICES LLC
Practice Location Address:

8926 RUTHERFORD GROVE ST
LAS VEGAS, NV
89148-4933

Practice Phone: 702-544-6505
Practice Fax:

1932520228 — MR. CHARLES ORR III
Practice Location Address:

8926 RUTHERFORD GROVE ST
LAS VEGAS, NV
89148-4933

Practice Phone: 702-544-6505
Practice Fax:

1760882534 — ELIZABETH LUJAN
Practice Location Address:

734 LEE DR
LAS VEGAS, NM
87701-4933

Practice Phone: 505-426-7532
Practice Fax:

Directions to “TRIDUUM HEALTH CARE 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.