Provider Demographics
NPI:1871141747
Name:PARTNERS IN CARE LLC
Entity type:Organization
Organization Name:PARTNERS IN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:REGALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-972-9861
Mailing Address - Street 1:9788 GILESPIE ST STE 413
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7607
Mailing Address - Country:US
Mailing Address - Phone:702-476-9068
Mailing Address - Fax:702-330-0805
Practice Address - Street 1:9788 GILESPIE ST STE 413
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7607
Practice Address - Country:US
Practice Address - Phone:702-476-9068
Practice Address - Fax:702-330-0805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty