Individual
DR. PENGFENG JACK JIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5510 S FORT APACHE RD, LAS VEGAS, NV 89148-7700
(702) 900-9888
(888) 316-6618
Mailing address
6630 ARROYO SPRINGS ST STE 1200, LAS VEGAS, NV 89113-1948
(702) 900-9888
(888) 316-6618
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
27917
NV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
LL4184
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2024
Last updated
01/23/2026
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