Ollada, Miguel M

Ollada, Miguel M is an sole proprietor health care provider with primary practice located at 6900 Pecos Rd , North Las Vegas NV 89086-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ollada, Miguel M can be contacted via phone (702) 791-9030.

Contact Information

Primary practice address
6900 Pecos Rd North Las Vegas NV 89086-4400
Phone: (702) 791-9030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A22768 California

Profile Details

NPI number 1780654640
LBN Legal business name Ollada, Miguel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Mar 4th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780654640 NPPES
California MEDICAID 00A227680
California Other 00A227680

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