# LAS VEGAS REGIONAL SURGERY CENTER, LP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073705992
- **Authorized official:** DR. ISSAC VERBUKH M.D. (PRESIDENT)
- **Authorized official phone:** (310) 301-8329

## Contact information

- **Practice address:** 3560 E FLAMINGO RD, LAS VEGAS, NV 89121-5044
- **Practice address phone:** (702) 454-8712
- **Mailing address:** 4333 ADMIRALTY WAY, WEST HELIX \#9, MARINA DEL REY, CA 90292-5469
- **Mailing address phone:** (310) 301-8329
- **Mailing address fax:** (310) 301-8329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 468ASC-15 | NV | Yes |

## Other

- **Enumeration date:** 08/14/2007
- **Last updated:** 06/21/2010