Provider Demographics
NPI:1003641895
Name:ZENITH HEALTH INC
Entity type:Organization
Organization Name:ZENITH HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:
Authorized Official - Last Name:PANGANIBAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-769-9368
Mailing Address - Street 1:9555 S EASTERN AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-8008
Mailing Address - Country:US
Mailing Address - Phone:702-447-0333
Mailing Address - Fax:702-447-0340
Practice Address - Street 1:9555 S EASTERN AVE STE 260
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-8008
Practice Address - Country:US
Practice Address - Phone:702-447-0333
Practice Address - Fax:702-447-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNV20151566945Medicaid