ADVANCED SPECIALTY SURGICAL CENTER LLC NPI 1740655232

NPI Information

NPI: 1740655232
Provider Name: ADVANCED SPECIALTY SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2196617

Address:
625 N A ST
SUITE 300
OXNARD, CA
ZIP 93030
Phone: (805) 351-5517
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ADVANCED SPECIALTY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Oxnard, CA. ADVANCED SPECIALTY SURGICAL CENTER, LLC NPI is 1740655232. The provider is registered as an organization entity type.

The provider's business location address is:

625 N A ST
SUITE 300
OXNARD, CA
ZIP 93030-919
Phone: (805) 351-5517
Fax: (805) 351-5523

The provider's authorized official is Paul Johnson .
The authorized official title is Medical Director and has the following contact phone number (818) 348-7246.

The CLIA number assigned to this NPI record is 05D2196617 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2015 and was last updated on 4/14/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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