Provider Demographics
NPI:1417580317
Name:ALLIANCE AGAINST DIABETES
Entity Type:Organization
Organization Name:ALLIANCE AGAINST DIABETES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:ZANG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:702-525-7320
Mailing Address - Street 1:3930 E PATRICK LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-4924
Mailing Address - Country:US
Mailing Address - Phone:702-574-9448
Mailing Address - Fax:
Practice Address - Street 1:3930 E PATRICK LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4924
Practice Address - Country:US
Practice Address - Phone:702-574-9448
Practice Address - Fax:702-564-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health