MEDICARE: JOYFUL PEDIATRICS, PLLC

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1912888751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYFUL PEDIATRICS, PLLC

Provider Business Mailing Address
First Line	:	2251 N RAMPART BLVD
Second Line	:	PMB # 367
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7640
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3087 E WARM SPRINGS RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3754
Country	:	US
Telephone Number	:	702-463-1011
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BENJAMIN WONG
Credential	:
Telephone Number	:	216-702-3299

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	04/18/2026

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