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CONEJO VALLEY OUTPATIENT CENTER LLC NPI 1437567765


NPI Information

NPI: 1437567765
Provider Name: CONEJO VALLEY OUTPATIENT CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1127 WILSHIRE BLVD
SUITE 1000
LOS ANGELES, CA
ZIP 90017
Phone: (310) 846-4155
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CONEJO VALLEY OUTPATIENT CENTER, LLC is an ambulatory surgical clinic center in Los Angeles, CA. CONEJO VALLEY OUTPATIENT CENTER, LLC NPI is 1437567765. The provider is registered as an organization entity type.

The provider's business location address is:

1127 WILSHIRE BLVD
SUITE 1000
LOS ANGELES, CA
ZIP 90017-901
Phone: (310) 846-4155

The provider's authorized official is Robert Fan .
The authorized official title is Medical Director and has the following contact phone number (310) 846-4155.

The enumeration date for this NPI number is 7/30/2014 and was last updated on 11/2/2015.


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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