| NPI | 1851153027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAI VI HA HOANG Chief Medical Director 702-750-0659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-04-01 |