Provider Demographics
NPI:1073336210
Name:CROWN HEALTH SERVICES LLC
Entity type:Organization
Organization Name:CROWN HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPEYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-623-0220
Mailing Address - Street 1:6655 S TENAYA WAY STE 170B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-1929
Mailing Address - Country:US
Mailing Address - Phone:702-623-0220
Mailing Address - Fax:
Practice Address - Street 1:6655 S TENAYA WAY STE 170B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-1929
Practice Address - Country:US
Practice Address - Phone:702-623-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty