Provider Demographics
NPI:1629141536
Name:CATHAY MEDICAL CENTER INC
Entity Type:Organization
Organization Name:CATHAY MEDICAL CENTER INC
Other - Org Name:TENG C. ONG MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FAMILY PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:TENG
Authorized Official - Middle Name:C
Authorized Official - Last Name:ONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-362-6373
Mailing Address - Street 1:5300 SPRING MOUNTAIN RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8718
Mailing Address - Country:US
Mailing Address - Phone:702-362-6373
Mailing Address - Fax:702-362-6420
Practice Address - Street 1:5300 SPRING MOUNTAIN RD
Practice Address - Street 2:SUITE 112
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8718
Practice Address - Country:US
Practice Address - Phone:702-362-6373
Practice Address - Fax:702-362-6420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5506207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002002969Medicaid
NV002002969Medicaid
VMD5506Medicare ID - Type Unspecified