| Sunset Clinic | |
|
3551 E Bonanza Rd Suite 107 Las Vegas NV 89110-2198 | |
| (702) 589-5135 | |
| Not Available |
| Full Name | Sunset Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3551 E Bonanza Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Mehrdad Mark Ferdowsian (D.O.) |
| Authorized Official Contact | 7028510911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunset Clinic 3551 E Bonanza Road Suite 107 Las Vegas NV 89110 Ph: (702) 589-5135 | Sunset Clinic 3551 E Bonanza Rd Suite 107 Las Vegas NV 89110-2198 Ph: (702) 589-5135 |
| NPI Number | 1629219514 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 01/18/2018 |
| Medicare PECOS PAC ID | 1658425210 |
|---|---|
| Medicare Enrollment ID | O20090817000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629219514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Humberto Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912927229 PECOS PAC ID: 3678562394 Enrollment ID: I20040508000094 |
| Provider Name | Mehrdad Mark Ferdowsian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265530570 PECOS PAC ID: 6103803879 Enrollment ID: I20070522000488 |
| Provider Name | Hai T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073544599 PECOS PAC ID: 8820085756 Enrollment ID: I20101202000139 |
| Provider Name | Badi Eghterafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427468537 PECOS PAC ID: 2860719911 Enrollment ID: I20170501002479 |
| Provider Name | Trinay L Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356904031 PECOS PAC ID: 6002248952 Enrollment ID: I20191114000231 |
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