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CALIFORNIA MINIMALLY INVASIVE SURGICAL CENTER INC. NPI 1619087772


NPI Information

NPI: 1619087772
Provider Name: CALIFORNIA MINIMALLY INVASIVE SURGICAL CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1001 NEWBURY RD
#102
NEWBURY PARK, CA
ZIP 91320
Phone: (805) 375-7955
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CALIFORNIA MINIMALLY INVASIVE SURGICAL CENTER, INC. is an ambulatory surgical clinic center in Newbury Park, CA. CALIFORNIA MINIMALLY INVASIVE SURGICAL CENTER, INC. NPI is 1619087772. The provider is registered as an organization entity type.

The provider's business location address is:

1001 NEWBURY RD
#102
NEWBURY PARK, CA
ZIP 91320-434
Phone: (805) 375-7955
Fax: (805) 375-7986

The provider's authorized official is John Chih Chiu .
The authorized official title is Ceo/president and has the following contact phone number (805) 375-7955.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/24/2009.


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 SurgicalC31784CALIFORNIAYes

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
1Y03991MEDICARE UPINCALIFORNIA
2S051646MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3W11081MEDICARE PINCALIFORNIA

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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