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Organization
VEGAS AMBULATORY SURGERY CENTER LLC
Active
Organization
VEGAS AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE TAN MD (MEDICAL DIRECTOR)
(415) 439-3746
Entity
Organization
Contact information
Practice address
5119 CAMINO AL NORTE STE 110, N LAS VEGAS, NV 89031-2373
(702) 625-2314
(504) 226-0661
Mailing address
5119 CAMINO AL NORTE STE 110, N LAS VEGAS, NV 89031-2373
(702) 867-8765
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10960-ASC-0
STATE LICENSE
NV
Enumeration date
09/25/2023
Last updated
07/16/2025
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