| Sebastian L Ornopia Md Llc | |
|
5460 W Sahara Ave Las Vegas NV 89146-3307 | |
| (702) 396-8834 | |
| (702) 396-6550 |
| Full Name | Sebastian L Ornopia Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5460 W Sahara Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Sebastian L Ornopia (PRESIDENT OWNER) |
| Authorized Official Contact | 7023968834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sebastian L Ornopia Md Llc 889 S Rainbow Blvd #647 Las Vegas NV 89145-6238 Ph: (702) 396-8834 | Sebastian L Ornopia Md Llc 5460 W Sahara Ave Las Vegas NV 89146-3307 Ph: (702) 396-8834 |
| NPI Number | 1912086851 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 8527158286 |
|---|---|
| Medicare Enrollment ID | O20071218000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912086851 | NPI | - | NPPES |
| 100507163 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 11463 (Nevada) | Primary |
| Provider Name | Sebastian L Ornopia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336164607 PECOS PAC ID: 7810800455 Enrollment ID: I20051010000676 |
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