1801032750 NPI number — CONEJO VALLEY SURGERY CENTER, LLC

Table of content: (NPI 1801032750)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801032750 NPI number — CONEJO VALLEY SURGERY CENTER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CONEJO VALLEY SURGERY CENTER, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801032750
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 881840
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-273-5200
Provider Business Mailing Address Fax Number:
805-498-5494

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
311 HAIGH ROAD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
NEWBURY PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-273-5200
Provider Business Practice Location Address Fax Number:
805-498-5494
Provider Enumeration Date:
12/24/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OJURI
Authorized Official First Name:
ADEBAMBO
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
805-273-5200

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)