| Organization Name: | ROLLING OAKS SURGERY CENTER LLC |
| NPI Number: | 1003216276 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KOUROS AZAR (MANAGER) |
| Mailing Address: | 415 Rolling Oaks Dr Suite 115 Thousand Oaks |
| State: | CA US |
| Postal Code: | 913611029 |
| Phone Number: | 8053737073 |
| Fax Number: | 8053731116 |
| NPI Enumeration Date: | 08/25/2014 |
| NPI Last Update Date: | 11/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | A79029 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |