Organization
LVC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN OWYONG (CREDENTIALING CONTACT)
(702) 802-3456
Entity
Organization
Contact information
Practice address
1050 S RAINBOW BLVD STE 100, LAS VEGAS, NV 89145-6231
(702) 802-3456
(702) 802-3457
Mailing address
PO BOX 778210, HENDERSON, NV 89077-8210
(702) 802-3456
(702) 802-3457
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164930491
—
NV
Enumeration date
01/22/2018
Last updated
10/25/2022
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