Individual provider · Type 1 NPI

Angelie Teng

Surgical Physician Assistant · Las Vegas, NV

NPI number 1790303055 Active

Practice location

1707 W Charleston Blvd Ste 190
Las Vegas, NV 89102-2352

Mailing address

3016 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1973

Other practice locations

  • 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 · (760) 340-3911

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA60223 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA2800 (NV)

Surgical Physician Assistant: Definition to come...

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About NPI 1790303055

Angelie Teng's National Provider Identifier is 1790303055, issued on Jul 13, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 4, 2023.