| Aspire Medical Center Llc | |
|
6870 S Rainbow Blvd Ste 106-107 Las Vegas NV 89118-2106 | |
| (702) 750-0659 | |
| Not Available |
| Full Name | Aspire Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6870 S Rainbow Blvd Ste 106-107, Las Vegas, Nevada |
| Authorized Official Name and Position | Mai Vi Ha Hoang (CHIEF MEDICAL DIRECTOR) |
| Authorized Official Contact | 7027500659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Medical Center Llc 6870 S Rainbow Blvd Ste 107 Las Vegas NV 89118-2107 Ph: () - | Aspire Medical Center Llc 6870 S Rainbow Blvd Ste 106-107 Las Vegas NV 89118-2106 Ph: (702) 750-0659 |
| NPI Number | 1851153027 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 04/01/2024 |
| Medicare PECOS PAC ID | 0446699375 |
|---|---|
| Medicare Enrollment ID | O20240411003084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851153027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | Truong Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821663428 PECOS PAC ID: 6709281785 Enrollment ID: I20210830002153 |
| Provider Name | Lam N Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225520695 PECOS PAC ID: 2264776574 Enrollment ID: I20211027003212 |
| Provider Name | Joel S Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972110922 PECOS PAC ID: 3779994199 Enrollment ID: I20220823003939 |
| Provider Name | Wanseung Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104547769 PECOS PAC ID: 6002286440 Enrollment ID: I20230103001871 |
| Provider Name | Mai Vi Ha Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760745988 PECOS PAC ID: 3870735103 Enrollment ID: I20230329003168 |
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