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3680 E Sunset Rd Ste 100 Las Vegas NV 89120-7219 | |
| (702) 855-0748 | |
| (702) 436-8088 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3680 E Sunset Rd Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | Renee L Ngo (PRESIDENT) |
| Authorized Official Contact | 7028550748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 778207 Henderson NV 89077-8207 Ph: (702) 855-0748 | 3680 E Sunset Rd Ste 100 Las Vegas NV 89120-7219 Ph: (702) 855-0748 |
| NPI Number | 1477675734 |
|---|---|
| Provider Enumeration Date | 04/05/2007 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Medicare PECOS PAC ID | 7719926294 |
|---|---|
| Medicare Enrollment ID | O20050426000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477675734 | NPI | - | NPPES |
| TXIX | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10905 (Nevada) | Primary |
| Provider Name | Renee Lim Ngo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902889264 PECOS PAC ID: 5799769717 Enrollment ID: I20040616001483 |
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