| NPI | 1881934909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DINH Director 702-266-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A119712) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2022-12-07 |