INTEGRATED SURGICAL CENTER NPI 1457917320

NPI Information

INTEGRATED SURGICAL CENTER is an ambulatory surgical clinic center in Thousand Oaks, CA. INTEGRATED SURGICAL CENTER NPI is 1457917320. The provider is registered as an organization entity type.

The provider's business location address is:

550 SAINT CHARLES DR STE 101
THOUSAND OAKS, CA
ZIP 91360-971
Phone: (805) 719-6611
Fax: (805) 719-6622

The provider's authorized official is Nicole Brown .
The authorized official title is Administration and has the following contact phone number (805) 719-6611.

The CLIA number assigned to this NPI record is 05D2155183 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2019 and was last updated on 5/15/2019.

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:

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