| Siena Hills Primary Care | |
|
2789 Sunridge Heights Pkwy Suite 100 Henderson NV 89052 | |
| (702) 614-0850 | |
| (702) 614-0798 |
| Full Name | Siena Hills Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 2789 Sunridge Heights Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Robert Charles Gong (MANAGING OWNER) |
| Authorized Official Contact | 7026140850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siena Hills Primary Care 2789 Sunridge Heights Pkwy Suite 100 Henderson NV 89052-5052 Ph: (702) 614-0850 | Siena Hills Primary Care 2789 Sunridge Heights Pkwy Suite 100 Henderson NV 89052 Ph: (702) 614-0850 |
| NPI Number | 1003903527 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/06/2018 |
| Medicare PECOS PAC ID | 1254389216 |
|---|---|
| Medicare Enrollment ID | O20050106000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003903527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7222 (Nevada) | Primary |
| Provider Name | Jenny C Ha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871564435 PECOS PAC ID: 9032212659 Enrollment ID: I20070501000530 |
| Provider Name | Nancy C Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023185915 PECOS PAC ID: 5799852851 Enrollment ID: I20080916000407 |
| Provider Name | Robert Charles Gong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265409601 PECOS PAC ID: 7315945045 Enrollment ID: I20100916000664 |
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