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ROLLING OAKS SURGERY CENTER LLC NPI 1003216276


NPI Information

NPI: 1003216276
Provider Name: ROLLING OAKS SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2089586

Address:
415 ROLLING OAKS DR
SUITE 115
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 373-7073
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ROLLING OAKS SURGERY CENTER LLC is an ambulatory surgical clinic center in Thousand Oaks, CA. ROLLING OAKS SURGERY CENTER LLC NPI is 1003216276. The provider is registered as an organization entity type.

The provider's business location address is:

415 ROLLING OAKS DR
SUITE 115
THOUSAND OAKS, CA
ZIP 91361-029
Phone: (805) 373-7073
Fax: (805) 373-1116

The provider's authorized official is Kouros Azar .
The authorized official title is Manager and has the following contact phone number (805) 373-7073.

The CLIA number assigned to this NPI record is 05D2089586 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2014 and was last updated on 11/20/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalA79029CALIFORNIAYes

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: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.