SearchNevada171100000X

Grace Im, OMD

NPI 1013523166 · on the registry since 2020 · sole proprietor

Practice

Address
6900 N Pecos Rd
North Las Vegas, NV 89086
Phone
(702) 791-9024
Fax
(702) 224-6930
Organisation at this address
Las Vegas Vamc
Las Vegas Vamc
Va Of Southern Nv
Southern Nevada Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
682

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada