Provider Demographics
NPI:1205640398
Name:SKIN GUARD NV INC
Entity type:Organization
Organization Name:SKIN GUARD NV INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENJI
Authorized Official - Middle Name:
Authorized Official - Last Name:CADIZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:571-379-6548
Mailing Address - Street 1:5787 W HALEH AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-9071
Mailing Address - Country:US
Mailing Address - Phone:571-379-6548
Mailing Address - Fax:
Practice Address - Street 1:5787 W HALEH AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-9071
Practice Address - Country:US
Practice Address - Phone:571-379-6548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty