OrganizationMai Family Health Clinic LlcNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9315 W Sunset Rd, 100, Las Vegas, NV 89148-5011(702) 480-2044PECOS EnrollmentBased on the most recent information from CMS, provider Mai Family Health Clinic Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1669852042Provider TypeOrganizationFull NameMai Family Health Clinic LlcSubpartNoEnumeration Date6/1/2015Last Updated6/1/2015Contact InformationPractice LocationPractice Address9315 W Sunset Rd, 100, Las Vegas, NV 89148-5011Phone(702) 480-2044Fax(702) 638-7706Mailing LocationMailing Address9315 W Sunset Rd, 100, Las Vegas, NV 89148-5011Phone(702) 480-2044Fax(702) 638-7706Authorized OfficialNameMai, Jesse Thi (Owner)Phone(702) 480-2044Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerNevadaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerNevada