| NPI | 1427892546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDANA NOREEN CHETA Administrator 702-504-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2025-11-30 |