NPI 1619750023 · live from the CMS NPI Registry
A Healthy Life Center LLC
Internal Medicine in Las Vegas, NV. National Provider Identifier 1619750023, active.
NPI record
| NPI | 1619750023 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 1045 Yucca Ave, Las Vegas, NV 89104 |
| Practice phone | 725-237-2769 |
| Mailing address | Po Box 33443, Las Vegas, NV 89133 |
| Enumerated | August 17, 2023 |
| Last updated | August 17, 2023 |
| Authorized official | George Anderson, Chief Executive Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Integrative Medicine | 202D00000X | — |
| General Practice | 208D00000X | — |
| Hospitalist | 208M00000X | — |
| Physician Assistant | 363A00000X | — |
| Physician Assistant, Medical | 363AM0700X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.