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LOS ROBLES SURGICENTER LLC NPI 1336294859


NPI Information

NPI: 1336294859
Provider Name: LOS ROBLES SURGICENTER, LLC

Doing Business As: LOS ROBLES SURGICENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D0864724

Address:
2190 LYNN RD
SUITE 100
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 497-3737
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LOS ROBLES SURGICENTER, LLC is an ambulatory surgical clinic center in Thousand Oaks, CA. LOS ROBLES SURGICENTER, LLC NPI is 1336294859. The provider is registered as an organization entity type.
The provider Is Doing Business As Los Robles Surgicenter.

The provider's business location address is:

2190 LYNN RD
SUITE 100
THOUSAND OAKS, CA
ZIP 91360-980
Phone: (805) 497-3737
Fax: (805) 373-8878

The provider's authorized official is William Gregory Swinney .
The authorized official title is Vp and has the following contact phone number (972) 789-2877.

The CLIA number assigned to this NPI record is 05D0864724 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 4/4/2018.


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 Surgical05000028CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105-C0001215OTHERCALIFORNIADEPT OF HEALTH & HUMAN SE

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: 11/14/2023

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.