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THOUSAND OAKS SURGERY CENTER LLC NPI 1023159860


NPI Information

NPI: 1023159860
Provider Name: THOUSAND OAKS SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1045230

Address:
1120 NEWBURY RD STE 100
THOUSAND OAKS, CA
ZIP 91320
Phone: (805) 557-1740
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THOUSAND OAKS SURGERY CENTER, LLC is an ambulatory surgical clinic center in Thousand Oaks, CA. THOUSAND OAKS SURGERY CENTER, LLC NPI is 1023159860. The provider is registered as an organization entity type.

The provider's business location address is:

1120 NEWBURY RD STE 100
THOUSAND OAKS, CA
ZIP 91320-663
Phone: (805) 557-1740

The provider's authorized official is Alexander P Hersel .
The authorized official title is Director and has the following contact phone number (805) 557-1740.

The CLIA number assigned to this NPI record is 05D1045230 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/23/2019.


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 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: 4/28/2024

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