MEDICARE: UPLUS ACADEMY 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1215494281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPLUS ACADEMY LLC

Provider Business Mailing Address
First Line	:	6605 RUMBA CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-6735
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5575 S DURANGO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1833
Country	:	US
Telephone Number	:	415-994-4864
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ZHENWU HUANG
Credential	:
Telephone Number	:	702-910-8759

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	01/09/2020

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