IndividualActive
Angelie Teng
NPI 1790303055 · Surgical Physician Assistant · Las Vegas, NV
Provider details
- NPI number
- 1790303055
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA60223 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
1707 W Charleston Blvd Ste 190
Las Vegas, NV 89102-2352
Phone: (702) 671-5110
Approximate (ZIP-level) locationGet directions
Mailing address
3016 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1973
Additional practice locations (1)
- 39000 Bob Hope DrRancho Mirage, CA 92270-3221Phone: (760) 340-3911Fax: (760) 773-1676
Registry dates
- Enumerated
- 2020-07-13
- Last updated
- 2023-12-04
- Certified
- 2023-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.