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8530 W Sunset Rd Ste 350 Las Vegas NV 89113-2247 | |
| (702) 851-1065 | |
| (702) 851-1066 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8530 W Sunset Rd Ste 350, Las Vegas, Nevada |
| Authorized Official Name and Position | Bess Lee Chang (PROVIDER OWNER) |
| Authorized Official Contact | 7028511065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 777910 Henderson NV 89077-7910 Ph: (702) 851-1065 | 8530 W Sunset Rd Ste 350 Las Vegas NV 89113-2247 Ph: (702) 851-1065 |
| NPI Number | 1790375251 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 06/07/2021 |
| Certification Date | 06/07/2021 |
| Medicare PECOS PAC ID | 1254746324 |
|---|---|
| Medicare Enrollment ID | O20210223001979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790375251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Bess L Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942228515 PECOS PAC ID: 5799740213 Enrollment ID: I20070303000095 |
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