Provider Demographics
NPI:1760292718
Name:SERRANO SURGERY CENTER PC
Entity type:Organization
Organization Name:SERRANO SURGERY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-445-4545
Mailing Address - Street 1:4220 W 3RD ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-3450
Mailing Address - Country:US
Mailing Address - Phone:213-445-4545
Mailing Address - Fax:
Practice Address - Street 1:5808 SPRING MOUNTAIN RD STE 106
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8897
Practice Address - Country:US
Practice Address - Phone:888-886-3977
Practice Address - Fax:213-384-4811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-11
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical