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Organization
LAS VEGAS REGIONAL SURGERY CENTER, LP
Active
Organization
LAS VEGAS REGIONAL SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISSAC VERBUKH M.D. (PRESIDENT)
(310) 301-8329
Entity
Organization
Contact information
Practice address
3560 E FLAMINGO RD, LAS VEGAS, NV 89121-5044
(702) 454-8712
Mailing address
4333 ADMIRALTY WAY, WEST HELIX #9, MARINA DEL REY, CA 90292-5469
(310) 301-8329
(310) 301-8329
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
468ASC-15
NV
Other
Enumeration date
08/14/2007
Last updated
06/21/2010
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