| Mytelemdusa Llc | |
|
1703 Civic Center Dr Ste 6 North Las Vegas NV 89030-7273 | |
| (702) 874-4448 | |
| (702) 848-2809 |
| Full Name | Mytelemdusa Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1703 Civic Center Dr Ste 6, North Las Vegas, Nevada |
| Authorized Official Name and Position | Salina Ramirez (ADMIN) |
| Authorized Official Contact | 7028744448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mytelemdusa Llc 1703 Civic Center Dr Ste 6 North Las Vegas NV 89030-7273 Ph: (702) 874-4448 | Mytelemdusa Llc 1703 Civic Center Dr Ste 6 North Las Vegas NV 89030-7273 Ph: (702) 874-4448 |
| NPI Number | 1831783141 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 11/18/2024 |
| Medicare PECOS PAC ID | 9234528829 |
|---|---|
| Medicare Enrollment ID | O20211122000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831783141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Zelluyah W Gaitho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659672939 PECOS PAC ID: 2961685268 Enrollment ID: I20110324000137 |
| Provider Name | Leah Gaitho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194355107 PECOS PAC ID: 1759706179 Enrollment ID: I20200803000733 |
| Provider Name | Alicia Rocha |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568084952 PECOS PAC ID: 8022453802 Enrollment ID: I20240302000645 |
| Provider Name | Molly Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164775789 PECOS PAC ID: 4284167487 Enrollment ID: I20250502001394 |
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