| NPI | 1124385976 |
|---|---|
| Doing Business As | CHANWELL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANTHONY QUAN CHAN President 702-568-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 42535) |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: CA 042535) |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 042535) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A35593) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2020-03-26 |