| Kec Chang Medical Associates, Pc | |
|
7720 W Sahara Ave Suite 103 Las Vegas NV 89117-2799 | |
| (702) 228-9888 | |
| Not Available |
| Full Name | Kec Chang Medical Associates, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7720 W Sahara Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Joyce P Chang (PRESIDENT) |
| Authorized Official Contact | 7022289888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kec Chang Medical Associates, Pc Po Box 81316 Las Vegas NV 89180-1316 Ph: (702) 228-9888 | Kec Chang Medical Associates, Pc 7720 W Sahara Ave Suite 103 Las Vegas NV 89117-2799 Ph: (702) 228-9888 |
| NPI Number | 1750606703 |
|---|---|
| Provider Enumeration Date | 04/01/2010 |
| Last Update Date | 04/16/2018 |
| Medicare PECOS PAC ID | 8820129190 |
|---|---|
| Medicare Enrollment ID | O20100630000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750606703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12643 (Nevada) | Primary |
| Provider Name | Senialita S Abarquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982885513 PECOS PAC ID: 7517044282 Enrollment ID: I20080404000338 |
| Provider Name | Joyce P Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346391182 PECOS PAC ID: 8022189661 Enrollment ID: I20080625000289 |
| Provider Name | Ethel E Sajor-sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679726251 PECOS PAC ID: 0446478721 Enrollment ID: I20140828002478 |
| Provider Name | Diane Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508250580 PECOS PAC ID: 4385965029 Enrollment ID: I20150605001220 |
| Provider Name | Cindy Pu Mcnicol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922731850 PECOS PAC ID: 4981088325 Enrollment ID: I20230601002945 |
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