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NPI Code Detail

MEDICARE: GOLDEN HEALTH CLINIC LLC

MEDICARE: GOLDEN HEALTH CLINIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1871394494
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN HEALTH CLINIC LLC
Provider Business Mailing Address
First Line : 5599 ROLLINS ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-6050
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8905 W POST RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2429
Country : US
Telephone Number : 725-325-4848
Fax Number : 844-751-3553
Authorized Official
Title or Position : OWNER
Name : PENGFENG JACK JIN
Credential : MD
Telephone Number : 702-900-9888
Provider Enumeration Date : 03/20/2025
Last Update Date : 06/15/2026

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Directions to “GOLDEN HEALTH CLINIC LLC ” Practice Location

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