MEDICARE: IHEALTH MEDICAL CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	363LF0000X	Family Nurse Practitioner
3	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1881309227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IHEALTH MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	6330 W FLAMINGO RD UNIT 106
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2234
Country	:	US
Telephone Number	:	702-918-2800
Fax Number	:	702-947-5352

Provider Business Practice Location Address
First Line	:	6330 W FLAMINGO RD UNIT 106
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2234
Country	:	US
Telephone Number	:	702-885-6457
Fax Number	:	702-701-8884

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	REYNANTE P VILLAHERMOSA
Credential	:
Telephone Number	:	702-885-6457

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	03/14/2025

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Directions to “IHEALTH MEDICAL CLINIC ” Practice Location

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