Organization
EVER BLUE OCEAN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEI HONG YANG (CEO)
(725) 232-8649
Entity
Organization
Contact information
Practice address
3097 S DECATUR BLVD, LAS VEGAS, NV 89102-9130
(725) 232-8649
Mailing address
3097 S DECATUR BLVD, LAS VEGAS, NV 89102-9130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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