SUN VALLEY SURGERY CENTER LLC NPI 1114266970

NPI Information

  • NPI: 1114266970
  • Provider Name: SUN VALLEY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 29D2063209
  • Address: 4090 N MLK BLVD
    NORTH LAS VEGAS, NV
    ZIP 89032
  • Phone: (425) 306-2579

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NPI Details

SUN VALLEY SURGERY CENTER, LLC is an ambulatory surgical clinic center in North Las Vegas, NV. SUN VALLEY SURGERY CENTER, LLC NPI is 1114266970. The provider is registered as an organization entity type.

The provider's business location address is:

4090 N MLK BLVD
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (425) 306-2579

The provider's authorized official is Christian Garaycochea .
The authorized official title is Owner, Medical Director and has the following contact phone number (801) 368-0468.

The CLIA number assigned to this NPI record is 29D2063209 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 6/5/2018.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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