MEDICARE: SEBASTIAN L ORNOPIA MD 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	11463	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912086851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEBASTIAN L ORNOPIA MD LLC

Provider Business Mailing Address
First Line	:	889 S RAINBOW BLVD
Second Line	:	#647
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-6238
Country	:	US
Telephone Number	:	702-396-8834
Fax Number	:	702-396-6550

Provider Business Practice Location Address
First Line	:	5460 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3307
Country	:	US
Telephone Number	:	702-396-8834
Fax Number	:	702-396-6550

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	SEBASTIAN L ORNOPIA
Credential	:	MD
Telephone Number	:	702-396-8834

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	10/15/2024

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