OrganizationActive
A Healthy Life Center LLC
NPI 1619750023 · Internal Medicine Physician · Las Vegas, NV
Provider details
- NPI number
- 1619750023
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- George Anderson, Chief Executive Officer(725) 237-2769
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Integrative Medicine Physician202D00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Practice location
1045 Yucca Ave
Las Vegas, NV 89104-1541
Phone: (725) 237-2769
Fax: (702) 548-0716
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 33443
Las Vegas, NV 89133-3443
Registry dates
- Enumerated
- 2023-08-17
- Last updated
- 2023-08-17
- Certified
- 2023-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.