MEDICARE: SERRANO SURGERY CENTER PC

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

General Provider Information

NPI Number	:	1760292718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERRANO SURGERY CENTER PC

Provider Business Mailing Address
First Line	:	4220 W 3RD ST STE 102
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-3450
Country	:	US
Telephone Number	:	213-445-4545
Fax Number	:

Provider Business Practice Location Address
First Line	:	5808 SPRING MOUNTAIN RD STE 106
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-8897
Country	:	US
Telephone Number	:	888-886-3977
Fax Number	:	213-384-4811

Authorized Official
Title or Position	:	SURGEON
Name	:	DR. DAVID KAHNG
Credential	:	MD
Telephone Number	:	213-445-4545

Provider Enumeration Date	:	01/11/2025
Last Update Date	:	01/21/2025

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