Provider Demographics
NPI:1346131323
Name:LEGACY ORIENTAL MEDICAL CENTER INC
Entity type:Organization
Organization Name:LEGACY ORIENTAL MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUIWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUIWEN
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:702-501-7988
Mailing Address - Street 1:9163 W FLAMINGO RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6458
Mailing Address - Country:US
Mailing Address - Phone:702-898-7899
Mailing Address - Fax:702-898-7898
Practice Address - Street 1:9163 W FLAMINGO RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-6458
Practice Address - Country:US
Practice Address - Phone:702-898-7899
Practice Address - Fax:702-898-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty