| NPI | 1093285462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVESH KUMAR Managing Member 702-202-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2023-01-27 |