MEDICARE: LAS VEGAS REGIONAL SURGERY CENTER, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	468ASC-15	NV

General Provider Information

NPI Number	:	1073705992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS VEGAS REGIONAL SURGERY CENTER, LP

Provider Business Mailing Address
First Line	:	4333 ADMIRALTY WAY
Second Line	:	WEST HELIX #9
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-5469
Country	:	US
Telephone Number	:	310-301-8329
Fax Number	:	310-301-8329

Provider Business Practice Location Address
First Line	:	3560 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5044
Country	:	US
Telephone Number	:	702-454-8712
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ISSAC VERBUKH
Credential	:	M.D.
Telephone Number	:	310-301-8329

Provider Enumeration Date	:	08/14/2007
Last Update Date	:	06/21/2010

Similar Medicare Providers

1821096827 — MICHAEL ALLEN BARON M.D.
Practice Location Address:

3560 E FLAMINGO RD , SUITE 100
LAS VEGAS, NV
89121-5044

Practice Phone: 702-433-6100
Practice Fax: 702-433-9576

1063410918 — DIAGNOSTIC IMAGING OF SOUTHERN NEVADA
Practice Location Address:

3560 E FLAMINGO RD , SUITE 100
LAS VEGAS, NV
89121-5044

Practice Phone: 702-433-6100
Practice Fax: 702-433-9576

1528066438 — MICHAEL A. BARON, M.D., LTD.
Practice Location Address:

3560 E FLAMINGO RD , SUITE 100
LAS VEGAS, NV
89121-5044

Practice Phone: 702-433-6100
Practice Fax: 702-433-9576

1710179940 — GREEN VALLEY ANESTHESIA SERVICES
Practice Location Address:

3560 E FLAMINGO RD , SUITE 105
LAS VEGAS, NV
89121-5044

Practice Phone: 702-454-8712
Practice Fax:

1235401134 — SHERYL ANGAT
Practice Location Address:

6210 WINDY WATERS CT
LAS VEGAS, NV
89110-5044

Practice Phone: 702-506-5140
Practice Fax:

1326548397 — AMALIA P DAVID
Practice Location Address:

6210 WINDY WATERS CT
LAS VEGAS, NV
89110-5044

Practice Phone: 702-240-3800
Practice Fax:

Directions to “LAS VEGAS REGIONAL SURGERY CENTER, LP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.