CENTENNIAL SPECIALTY SURGERY CENTER INC NPI 1043560295

NPI Information

NPI: 1043560295
Provider Name: CENTENNIAL SPECIALTY SURGERY CENTER INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
5550 PAINTED MIRAGE RD
SUITE 100
LAS VEGAS, NV
ZIP 89149
Phone: (310) 993-8994
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CENTENNIAL SPECIALTY SURGERY CENTER INC is an ambulatory surgical clinic center in Las Vegas, NV. CENTENNIAL SPECIALTY SURGERY CENTER INC NPI is 1043560295. The provider is registered as an organization entity type.

The provider's business location address is:

5550 PAINTED MIRAGE RD
SUITE 100
LAS VEGAS, NV
ZIP 89149-581
Phone: (310) 993-8994

The provider's authorized official is Daniel P Taheri .
The authorized official title is Owner and has the following contact phone number (310) 993-8994.

The enumeration date for this NPI number is 9/14/2012 and was last updated on 8/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	20120078160-37	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20120078160-37	OTHER	NEVADA	CORPORATION ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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