| Sun Medical Service Corp | |
|
2621 W Horizon Ridge Pkwy Suite 150 Henderson NV 89052-2895 | |
| (702) 837-6368 | |
| (702) 837-0685 |
| Full Name | Sun Medical Service Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2621 W Horizon Ridge Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Wen Liang (PRESIDENT) |
| Authorized Official Contact | 7028376368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Medical Service Corp 2621 W Horizon Ridge Pkwy Suite 150 Henderson NV 89052-2895 Ph: (702) 837-6368 | Sun Medical Service Corp 2621 W Horizon Ridge Pkwy Suite 150 Henderson NV 89052-2895 Ph: (702) 837-6368 |
| NPI Number | 1659387066 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 3375625460 |
|---|---|
| Medicare Enrollment ID | O20080129000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659387066 | NPI | - | NPPES |
| CC1181 | Other | NV | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8518 (Nevada) | Primary |
| Provider Name | Wen Liang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023092020 PECOS PAC ID: 7810913746 Enrollment ID: I20051020000452 |
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