HCPN at City Impact Wellness Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HCPN AT CITY IMPACT WELLNESS CLINIC LLC

Practice address

968 E Sahara Ave Ste C
Las Vegas, NV 89104-3022

Phone

(702) 871-9917

NPI assigned

Mar 11, 2019

Last updated

Mar 11, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jose Viray

Title

Owner

Phone

(702) 871-9917

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Health & Care Professional Network LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1447344353

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1023576840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W FLAMINGO RD STE 25",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033707",
            "telephone_number": "702-871-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 E SAHARA AVE STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043022",
            "telephone_number": "702-871-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCPN AT CITY IMPACT WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "VIRAY",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-871-9917",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HCGR & Associates, LLC (Ambitious Minds Therapy Center)
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• HCGR Empire, LLC (Be Kind Therapy)
• HCLV, LLC (Hearing Centers of Las Vegas)
• Jane He
• Jianfen He
• Pan He
• Weiwen He
• Xue Ying He

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.