DIGESTIVE HEALTH CENTER OF THOUSAND OAKS LLC NPI 1174715445

NPI Information

DIGESTIVE HEALTH CENTER OF THOUSAND OAKS, LLC is an endoscopy clinic center in Thousand Oaks, CA. DIGESTIVE HEALTH CENTER OF THOUSAND OAKS, LLC NPI is 1174715445. The provider is registered as an organization entity type.

The provider's business location address is:

3510 N MOORPARK RD STE 101
THOUSAND OAKS, CA
ZIP 91360-688
Phone: (805) 492-9000
Fax: (805) 492-4100

The provider's authorized official is Alister Augustus George .
The authorized official title is Manager/medical Director and has the following contact phone number (805) 492-9000.

The CLIA number assigned to this NPI record is 05D1072567 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 10/26/2017.

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:

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