| Medical And Behavioral Health Center Llc | |
|
4225 S Eastern Ave Ste 8 Las Vegas NV 89119-5485 | |
| (725) 204-0953 | |
| (702) 552-0302 |
| Full Name | Medical And Behavioral Health Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4225 S Eastern Ave Ste 8, Las Vegas, Nevada |
| Authorized Official Name and Position | Emilie Palabasan (MEMBER) |
| Authorized Official Contact | 2253711230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical And Behavioral Health Center Llc 1363 W Owens Ave Las Vegas NV 89106-2432 Ph: (725) 204-0953 | Medical And Behavioral Health Center Llc 4225 S Eastern Ave Ste 8 Las Vegas NV 89119-5485 Ph: (725) 204-0953 |
| NPI Number | 1023721065 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 0143759563 |
|---|---|
| Medicare Enrollment ID | O20250129002158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023721065 | NPI | - | NPPES |
| Provider Name | Maria Tessie Aroma Beduya-princer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649249608 PECOS PAC ID: 1052373131 Enrollment ID: I20041101000635 |
| Provider Name | Virgilio I Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881935039 PECOS PAC ID: 6800038712 Enrollment ID: I20130806000148 |
| Provider Name | Lili S Lero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821425596 PECOS PAC ID: 8527288968 Enrollment ID: I20141006002352 |
| Provider Name | Susan Cubil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346649514 PECOS PAC ID: 5193046936 Enrollment ID: I20150605000937 |
| Provider Name | Teodora B Del Pilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992195523 PECOS PAC ID: 5890096481 Enrollment ID: I20151228001143 |
| Provider Name | Edwige Hermine Fandio Ngankou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720865272 PECOS PAC ID: 9739538240 Enrollment ID: I20231208003156 |
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