| Jae Choi Md Pllc | |
|
70 Pristine Glen St Las Vegas NV 89135-7891 | |
| (702) 904-0242 | |
| Not Available |
| Full Name | Jae Choi Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 70 Pristine Glen St, Las Vegas, Nevada |
| Authorized Official Name and Position | Jae Choi (MEMBER) |
| Authorized Official Contact | 7029040242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Choi Md Pllc 70 Pristine Glen St Las Vegas NV 89135-7891 Ph: () - | Jae Choi Md Pllc 70 Pristine Glen St Las Vegas NV 89135-7891 Ph: (702) 904-0242 |
| NPI Number | 1649638438 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/08/2016 |
| Medicare PECOS PAC ID | 1658677232 |
|---|---|
| Medicare Enrollment ID | O20160308001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649638438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marilou D Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891127775 PECOS PAC ID: 7911132055 Enrollment ID: I20131028000935 |
| Provider Name | Jae Ho Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689660672 PECOS PAC ID: 8022088137 Enrollment ID: I20160308001663 |
| Provider Name | Chee Hiong Koh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588191746 PECOS PAC ID: 5395005656 Enrollment ID: I20180205002752 |
| Provider Name | Yang Zhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699091124 PECOS PAC ID: 6305077157 Enrollment ID: I20200402001799 |
| Provider Name | Eugene Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306372255 PECOS PAC ID: 4880965276 Enrollment ID: I20200427002712 |
| Provider Name | Kevin Thant Chaung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326571001 PECOS PAC ID: 8224455365 Enrollment ID: I20200903000924 |
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