Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern Primary Care LLC

Organization Family Medicine Physician · NPI 1790531762

Eastern Primary Care LLC is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6859 S Eastern Ave Ste 103
Las Vegas, NV 89119-0003
Phone: (702) 830-0615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1790531762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Wijangco — Nurse Practitioner/Owner · (702) 830-0615
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024
Mailing address6859 S Eastern Ave Ste 103, Las Vegas, NV 89119-0003

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