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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