| United States Veterans Initiative | |
|
525 E Bonanza Rd Las Vegas NV 89101-3038 | |
| (702) 366-0456 | |
| Not Available |
| Full Name | United States Veterans Initiative |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 E Bonanza Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Lisa R Jackson Zeno (MEDICAL BILLING PROJECT COORDINATOR) |
| Authorized Official Contact | 2137604630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United States Veterans Initiative 800 W 6th St Ste 1505 Los Angeles CA 90017-2742 Ph: (213) 760-4630 | United States Veterans Initiative 525 E Bonanza Rd Las Vegas NV 89101-3038 Ph: (702) 366-0456 |
| NPI Number | 1245724160 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 12/17/2024 |
| Medicare PECOS PAC ID | 4082963475 |
|---|---|
| Medicare Enrollment ID | O20180817001729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245724160 | NPI | - | NPPES |
| Provider Name | Michelle Olsen Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700535689 PECOS PAC ID: 5890159651 Enrollment ID: I20230912002266 |
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