Organization · Type 2 NPI

Randa Bascharon, Do, Inc

Non-Pharmacy Dispensing Site · Las Vegas, NV

NPI number 1386966976 Active

Practice location

7281 W Sahara Ave, Ste 110
Las Vegas, NV 89117-2816

Call (702) 947-7790 Map

Mailing address

2980 N Beverly Glen Cir, Ste 301
Los Angeles, CA 90077-1726

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	1103 (NV)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

3 other providers at this address

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NPI record

NPI: 1386966976
Entity type: Organization (Type 2)
Issued: Feb 23, 2010
Last updated: Mar 1, 2011
Status: Active
Subpart: Yes of Randa Bascharon, Do, Inc

Other names

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Orthopedic & Sports Medicine Institute of Las Vegas · doing business as

Authorized official

Randa Bascharon, DO
Medical Director
(702) 947-7790

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386966976

Randa Bascharon, Do, Inc's National Provider Identifier is 1386966976, issued on Feb 23, 2010. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 1, 2011.