Azana Therapeutic Recondition Inc,

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

AZANA THERAPEUTIC RECONDITION INC,

Doing business as

Azana Inc.

Practice address

101 S, Rainbow Blvd. Ste 22
101 S. Rainbow Blvd. Ste # 22
Las Vegas, NV 89145

Phone

(702) 300-6014

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Jorge Luis Gutierrez, N.D.

Title

Manager

Phone

(702) 300-6014

Specialties & licenses 2

Addresses

Other names 1

• Azana Inc. Doing business as

Tax ID family

Azana Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Azana Therapeutic Recondition Inc,

  dba Azana Inc.

  • Rehabilitation Chiropractor
  • Las Vegas, NV
  • NPI 1326884800
  NPD tax ID

Locations

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1427893973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S, RAINBOW BLVD. STE 22",
            "address_2": "101 S. RAINBOW BLVD. STE # 22",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89145",
            "telephone_number": "702-300-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S, RAINBOW BLVD. STE 22",
            "address_2": "101 S. RAINBOW BLVD. STE # 22",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89145",
            "telephone_number": "702-300-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZANA THERAPEUTIC RECONDITION INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-300-6014",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azana Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Azana Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evans Yonyon Azagidi
• Azalea Garden LLC
• Brian Azali
• Muhammad Farooq Azam
• Azana Therapeutic Recondition Inc, (Azana Inc.)
• Aedom Azanaw
• Christine Azar
• Maria Azar
• Roudayna Azar
• Fernando Cunanan Azarcon, M.D.

• Rehabilitation Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.