| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LINA PEZZELLA | 1538453899 | 2023-11-12 |
Lina Pezzella is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538453899. Registration indicates Lina Pezzella is a provider of services with a specialization in Emergency Medicine (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians) (Emergency Medicine, ) (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Lina Pezzella M.D. |
| Practice Office Address | 5400 S RAINBOW BLVD LAS VEGAS, NV US |
| Practice Office Telephone | 7028533000 |
| Mailing Address | 500 N RAINBOW BLVD STE 203 LAS VEGAS, NV 891071084 US |
| Business Telephone | 7022591228 |
| Carequality [C-CDA] | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
| Code | Practice | License No State |
|---|---|---|
| 207P00000X | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 15357
NV |
| 207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | C159082
CA |