Okan Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OKAN MEDICAL CENTER LLC

Practice address

6381 Carmen Blvd
Las Vegas, NV 89108-1711

Phone

(702) 824-6353

NPI assigned

Oct 25, 2022

Last updated

Oct 25, 2022By 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

Rosa M Alfonso Hernandez

Title

Managing Member

Phone

(702) 824-6353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1477270916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6381 CARMEN BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081711",
            "telephone_number": "702-824-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6381 CARMEN BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081711",
            "telephone_number": "702-824-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKAN MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "ALFONSO HERNANDEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-824-6353"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kokona Okada, RBT
• Chidi Okafor, MD
• Okamoto PLLC (Spring Mountain Aesthetics)
• Rafael Okamoto, M.D.
• Bryan Masaru Okamura
• Okan Medical Group Corp
• Tes Okbamichael
• Fortuna Okbastion
• Rahwa Okbatsion
• Oznur Okcuoglu

• General Practice Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.