| NPI | 1568235893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KHUDAVERDYAN Owner/CEO 702-900-8341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083T0002X Preventive Medicine, Medical Toxicology |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
| 207PT0002X Emergency Medicine, Medical Toxicology | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-01-19 |