Av Resuello Medical Group
LBN: Av Resuello Medical Corporation
Av Resuello Medical Group is an health care organization with primary practice located at 1300 S Maryland Pkwy , Las Vegas NV 89104-3310. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Av Resuello Medical Corporation can be contacted via phone (702) 385-4929, or through Resuello, Adelaida Valerio via phone (702) 385-4929.
Contact Information
Primary practice address
1300 S Maryland Pkwy
Las Vegas NV 89104-3310
Phone: (702) 385-4929
Fax: (702) 385-4457
Website:
Authorized official contact:
Name: Resuello, Adelaida Valerio Doctor of Medicine (MD)
Phone: (702) 385-4929
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 8004 | Nevada |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 8004 | Nevada |
Profile Details
| NPI number | 1184964306 |
|---|---|
| LBN Legal business name | Av Resuello Medical Corporation |
| DBA Doing business as | Av Resuello Medical Group |
| Authorized official | Resuello, Adelaida Valerio Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 25th, 2013 |
| Last updated | Feb 25th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184964306 | NPPES |
| Nevada | MEDICAID | 002019195 |
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