Provider Demographics
NPI:1710708748
Name:BLISS FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:BLISS FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOROSSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-623-8010
Mailing Address - Street 1:3909 S MARYLAND PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-7526
Mailing Address - Country:US
Mailing Address - Phone:702-623-8010
Mailing Address - Fax:702-825-2662
Practice Address - Street 1:3909 S MARYLAND PKWY STE 400
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-7526
Practice Address - Country:US
Practice Address - Phone:702-623-8010
Practice Address - Fax:702-825-2662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Multi-Specialty
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty