| NPI | 1265218556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JAYSON ZANG Authorized Official 702-525-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |