Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

East Charelston Pain Clinic and Medical Center

Organization Family Medicine Physician · NPI 1649512880

East Charelston Pain Clinic and Medical Center provides Family Medicine Physician services in Las Vegas, Nevada. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

1721 E Charleston Blvd
Las Vegas, NV 89104-1902 Not confirmed with CMS for 13 years — call before visiting
Phone: (702) 515-9680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1649512880
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEbonny Ventures Inc
Authorized official Festus Ebonka — President · (702) 515-9680
NPI enumeratedMarch 26, 2013
Last updated in NPPESMarch 26, 2013
Mailing address1721 E Charleston Blvd, Las Vegas, NV 89104-1902

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