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CENTRAL COAST CARDIOVASCULAR ASC LLC NPI 1306375837


NPI Profile

NPI: 1306375837
Provider Name: CENTRAL COAST CARDIOVASCULAR ASC LLC
Classification:Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2155097

Address:
2000 OUTLET CENTER DR STE 225
OXNARD, CA
ZIP 93036
Get Directions

Phone: (805) 258-5420

CENTRAL COAST CARDIOVASCULAR ASC LLC is an ambulatory surgical clinic center in Oxnard, CA. CENTRAL COAST CARDIOVASCULAR ASC LLC NPI is 1306375837. The provider is registered as an organization entity type.

The provider's business location address is:

2000 OUTLET CENTER DR STE 225
OXNARD, CA
ZIP 93036-605
Phone: (805) 258-5420
Fax: (805) 628-9446

The provider's authorized official is Karen Willis .
The authorized official title is Practice Administrator and has the following contact phone number (805) 258-5420.

The CLIA number assigned to this NPI record is 05D2155097 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2017 and was last updated on 6/8/2017.


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:

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: 10/10/2021

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