Provider Demographics
NPI:1629219514
Name:FERDOWSIAN GLOBAL SERVICES PLLC
Entity Type:Organization
Organization Name:FERDOWSIAN GLOBAL SERVICES PLLC
Other - Org Name:SUNSET CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:D.O.
Authorized Official - Prefix:
Authorized Official - First Name:MEHRDAD
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:FERDOWSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-851-0911
Mailing Address - Street 1:3551 E BONANZA ROAD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110
Mailing Address - Country:US
Mailing Address - Phone:702-589-5135
Mailing Address - Fax:702-589-5138
Practice Address - Street 1:3551 E BONANZA RD
Practice Address - Street 2:SUITE 107
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-2198
Practice Address - Country:US
Practice Address - Phone:702-589-5135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center