Gamboa LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B00861 Issued in NV

Legal business name

GAMBOA LLC

Doing business as

VEGAS VALLEY CHIROPRACTIC

Practice address

3230 E Charleston Blvd
Suite 109
Las Vegas, NV 89104-6626

Phone

(702) 478-6914

Fax

(702) 478-6915

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mirna Gamboa, D.C.

Title

Owner

Phone

(702) 478-6914

Specialties & licenses 1

Addresses

Other names 1

• VEGAS VALLEY CHIROPRACTIC Doing business as

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437370160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E CHARLESTON BLVD",
            "address_2": "SUITE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046626",
            "telephone_number": "702-478-6914",
            "fax_number": "702-478-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E CHARLESTON BLVD",
            "address_2": "SUITE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046626",
            "telephone_number": "702-478-6914",
            "fax_number": "702-478-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBOA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMBOA",
        "authorized_official_first_name": "MIRNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-478-6914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VEGAS VALLEY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Gamble, RN
• Ladeana Gamble, MSW
• Paul Gamble
• Robin Michelle Gamble
• Elizabeth Gamboa Cazares
• Tania Gamboa Verdecia
• Hyra Gamboa-Belen
• Camerina N Gamboa-Ettel, PHARMD
• Amy Gamboa
• Ana Iris Gamboa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.