Provider Demographics
NPI:1417397183
Name:PDA MEDHELP LLC
Entity type:Organization
Organization Name:PDA MEDHELP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PILAR
Authorized Official - Middle Name:DIAZ
Authorized Official - Last Name:ARABIA
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:702-595-9855
Mailing Address - Street 1:PO BOX 14804
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89114-4804
Mailing Address - Country:US
Mailing Address - Phone:702-595-9855
Mailing Address - Fax:702-453-7005
Practice Address - Street 1:2104 CALLE DE ESPANA
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4013
Practice Address - Country:US
Practice Address - Phone:702-595-9855
Practice Address - Fax:702-453-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV363LF0000X
363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty