NPI 1114162559

Taheri Chang M.D., PC

Organisation Dermatology Physician Las Vegas, NV

Practice location

Address: 5731 S Fort Apache Rd Suite #103, Las Vegas, NV 89148-5620
Phone: (702) 346-3875
Fax: (661) 974-8669
Mailing address: PO Box 16297, Beverly Hills, CA 90209-2297

Authorised official

Name: Daniel Taheri
Title: Owner
Phone: (661) 974-8666

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Nevada →

Registry record

NPI: 1114162559
Entity type: Organization
NPI issued: 15 Dec 2008
Record last updated: 8 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.