Provider Demographics
NPI:1841311172
Name:NGA P. DIEP, D.C.,P.C.
Entity type:Organization
Organization Name:NGA P. DIEP, D.C.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NGA
Authorized Official - Middle Name:PHUONG
Authorized Official - Last Name:DIEP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-222-4780
Mailing Address - Street 1:8406 MONDAVI HILL COURT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139
Mailing Address - Country:US
Mailing Address - Phone:702-734-8181
Mailing Address - Fax:
Practice Address - Street 1:4480 SPRING MOUNTAIN RD STE 700
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8771
Practice Address - Country:US
Practice Address - Phone:702-222-4780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU86116Medicare UPIN