Organization
ZION MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES SIMBULAN (PRESIDENT)
(818) 224-9390
Entity
Organization
Contact information
Practice address
7465 W LAKE MEAD BLVD, STE 100, LAS VEGAS, NV 89128-1032
(702) 560-4900
Mailing address
7465 W LAKE MEAD BLVD, STE 100, LAS VEGAS, NV 89128-1032
(702) 560-4900
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NV20171090051
NV
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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