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

Genesis Medical Clinic LLC

Organization Psychiatry Physician · NPI 1386389732

Genesis Medical Clinic LLC is a Psychiatry Physician in Las Vegas, Nevada. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

1372 Montezuma Ct
Las Vegas, NV 89119-4513
Phone: (702) 981-4012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1386389732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yusleisy Collazo — Owner · (702) 981-4012
NPI enumeratedApril 30, 2022
Last updated in NPPESApril 30, 2022
Certification dateApril 30, 2022
Mailing address1372 Montezuma Ct, Las Vegas, NV 89119-4513

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