Organization
SUN MEDICAL SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEN LIANG M.D. (PRESIDENT)
(702) 837-6368
Entity
Organization
Contact information
Practice address
2621 W HORIZON RIDGE PKWY, SUITE 150, HENDERSON, NV 89052-2895
(702) 837-6368
(702) 837-0685
Mailing address
2621 W HORIZON RIDGE PKWY, SUITE 150, HENDERSON, NV 89052-2895
(702) 837-6368
(702) 837-0685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8518
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC1181
BLUECROSS BLUESHIELD
NV
Enumeration date
07/31/2006
Last updated
04/25/2023
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