# SOUTHWEST MEDICAL ASSOCIATES INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwest Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174607303
- **Authorized official:** EMILY CASTILLO (MEDICAL STAFF MANAGER)
- **Authorized official phone:** (702) 480-2550

## Contact information

- **Practice address:** 2450 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2179
- **Practice address phone:** (702) 877-8660
- **Practice address fax:** (702) 258-1322
- **Mailing address:** PO BOX 35380, LAS VEGAS, NV 89133-5380
- **Mailing address phone:** (702) 579-3203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 29C0001000 | NV | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 01/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004602868 | — | NV |
