Healthcare Provider Details

I. General information

NPI: 1932183266
Provider Name (Legal Business Name): SINGLE DAY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6950 W DESERT INN RD SUITE 100
LAS VEGAS NV
89117-3171
US

IV. Provider business mailing address

PO BOX 50485
HENDERSON NV
89016-0485
US

V. Phone/Fax

Practice location:
  • Phone: 702-368-6000
  • Fax: 702-368-6010
Mailing address:
  • Phone: 702-368-6000
  • Fax: 702-368-6010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number3454ASC2
License Number StateNV

VIII. Authorized Official

Name: DANIEL KUNIL KIM
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 702-368-6600