| NPI | 1629548391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN B LIN Owner 702-807-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |