Organization
SINGLE DAY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KUNIL KIM MD (ADMINISTRATOR)
(702) 368-6600
Entity
Organization
Contact information
Practice address
6950 W DESERT INN RD, SUITE 100, LAS VEGAS, NV 89117-3171
(702) 368-6000
(702) 368-6010
Mailing address
PO BOX 50485, HENDERSON, NV 89016-0485
(702) 368-6000
(702) 368-6010
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
3454ASC2
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501263
—
NV
01
—
490005763
RAILROAD MEDICARE
NV
01
—
CC5639
BCBS
NV
Enumeration date
11/30/2005
Last updated
11/02/2007
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