Provider Demographics
NPI:1336940295
Name:CFCFM LLC
Entity type:Organization
Organization Name:CFCFM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:JESSICA
Authorized Official - Last Name:TORO GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-747-7770
Mailing Address - Street 1:2551 N GREEN VALLEY PKWY STE 425A
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-0272
Mailing Address - Country:US
Mailing Address - Phone:702-747-7770
Mailing Address - Fax:704-444-7791
Practice Address - Street 1:2551 N GREEN VALLEY PKWY STE 425A
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-0272
Practice Address - Country:US
Practice Address - Phone:702-747-7770
Practice Address - Fax:704-444-7791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty