OrganizationActive
Heart Medical Group
NPI 1962050716 · Adolescent Medicine (Internal Medicine) Physician · Las Vegas, NV
Provider details
- NPI number
- 1962050716
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Vivian Owyong, Agent
Practice location
1210 S Valley View Blvd
Unit 102
Las Vegas, NV 89102
Phone: (702) 235-5778
Mailing address
1210 S Valley View Blvd
Las Vegas, NV 89102
Registry dates
- Enumerated
- 2019-08-26
- Last updated
- 2019-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.