Organization Name: | SUNSET CLINIC |
NPI Number: | 1831411313 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEHRDAD MARK FERDOWSIAN (MEDICAL DIRECTOR) |
Mailing Address: | 4830 W Lone Mountain Rd Las Vegas |
State: | NV US |
Postal Code: | 891302239 |
Phone Number: | 7026458555 |
Fax Number: | 7026452828 |
NPI Enumeration Date: | 02/24/2010 |
NPI Last Update Date: | 04/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 01/27/2011 |
NPI Reactivation Date: | 04/13/2012 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 1019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |