Individual
DR. JIMMY CHIHHONG WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 PALOMINO LN, #100, LAS VEGAS, NV 89106-4842
(702) 759-8600
(702) 384-1815
Mailing address
2020 PALOMINO LN, #100, LAS VEGAS, NV 89106-4842
(702) 759-8600
(702) 384-1815
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14609
NV
2085R0202X
Diagnostic Radiology Physician
A110883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578764593
—
CA
05
—
1578764593
—
NV
01
—
P001148261
RR MEDICARE
NV
01
—
P01285910
RR DRS
CA
Enumeration date
05/29/2007
Last updated
11/05/2014
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