Provider Demographics
NPI:1083229587
Name:HOPE MEDICAL CLINIC PLLC
Entity type:Organization
Organization Name:HOPE MEDICAL CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:725-780-4339
Mailing Address - Street 1:7455 W AZURE DR STE 140
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-4431
Mailing Address - Country:US
Mailing Address - Phone:725-780-4351
Mailing Address - Fax:
Practice Address - Street 1:7455 W AZURE DR STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-4431
Practice Address - Country:US
Practice Address - Phone:725-780-4351
Practice Address - Fax:725-780-4339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty