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NPI Code Detail

MEDICARE: BEATRIZ ANG-ERMOCILLA MD

MEDICARE: BEATRIZ ANG-ERMOCILLA MD
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
1207Q00000XFamily Medicine Physician11293NV

General Provider Information

NPI Number : 1962412106
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATRIZ ANG-ERMOCILLA MD
Provider Business Mailing Address
First Line : 2870 S MARYLAND PKWY STE 220
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-1548
Country : US
Telephone Number : 725-204-7848
Fax Number : 877-275-8844
Provider Business Practice Location Address
First Line : 2870 S MARYLAND PKWY STE 220
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-1548
Country : US
Telephone Number : 725-204-7848
Fax Number : 877-275-8844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 06/25/2025

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Directions to “ BEATRIZ ANG-ERMOCILLA MD” Practice Location

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