| NPI | 1295986214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE JEONG Owner 702-328-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 1024) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2009-02-27 |