| Mike Y Jeong Do Ltd | |
|
9811 W Charleston Blvd Suite 2-304 Las Vegas NV 89117-7528 | |
| (702) 921-6829 | |
| (702) 921-6828 |
| Full Name | Mike Y Jeong Do Ltd |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 9811 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Mike Y Jeong (PRESIDENT) |
| Authorized Official Contact | 7029216829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Y Jeong Do Ltd 9811 W Charleston Blvd Suite 2-304 Las Vegas NV 89117-7528 Ph: (702) 921-6829 | Mike Y Jeong Do Ltd 9811 W Charleston Blvd Suite 2-304 Las Vegas NV 89117-7528 Ph: (702) 921-6829 |
| NPI Number | 1134268923 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 02/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134268923 | NPI | - | NPPES |
| 002018471 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 1024 (Nevada) | Primary |
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