JOURNEY LITE OF THE CENTRAL COAST LLC NPI 1629179205

NPI Information

JOURNEY LITE OF THE CENTRAL COAST, LLC is an ambulatory surgical clinic center in Thousand Oaks, CA. JOURNEY LITE OF THE CENTRAL COAST, LLC NPI is 1629179205. The provider is registered as an organization entity type.
The provider Is Doing Business As Conejo Surgical Center.

The provider's business location address is:

333 S MOORPARK RD
SUITE 339
THOUSAND OAKS, CA
ZIP 91361-008
Phone: (805) 497-3690

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The CLIA number assigned to this NPI record is 05D0991307 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 3/8/2023.

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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