Organization
GERIATRIC MEDICAL ASSOCIATES OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE JEONG DO (OWNER)
(702) 328-3283
Entity
Organization
Contact information
Practice address
9811 W CHARLESTON BLVD, SUITE 2-304, LAS VEGAS, NV 89117-7528
(702) 464-7855
(702) 921-6828
Mailing address
9811 W CHARLESTON BLVD, SUITE 2-304, LAS VEGAS, NV 89117-7528
(702) 464-7855
(702) 921-6828
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
1024
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018471
—
NV
Enumeration date
10/08/2008
Last updated
02/27/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up