Organization
CHANWELL MEDICAL GROUP NEVADA INC
Active
Organization
CHANWELL MEDICAL GROUP NEVADA INC
Active
Other names
CHANWELL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY QUAN CHAN M.D (PRESIDENT)
(702) 568-0686
Entity
Organization
Contact information
Practice address
2749 SUNRIDGE HEIGHTS PKWY, HENDERSON, NV 89052-5044
(702) 568-0686
(702) 568-0687
Mailing address
3726 LAS VEGAS BLVD S UNIT 3501W, LAS VEGAS, NV 89158-4399
(408) 828-2283
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
042535
CA
261QM1300X
Multi-Specialty Clinic/Center
Primary
42535
CA
261QM1300X
Multi-Specialty Clinic/Center
A35593
CA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
042535
CA
Other
Enumeration date
04/18/2012
Last updated
03/26/2020
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