| Organization Name: | THOUSAND OAKS SURGERY CENTER, LLC |
| NPI Number: | 1023159860 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEXANDER P HERSEL (DIRECTOR) |
| Mailing Address: | 415 Rolling Oaks Dr Suite #115 Thousand Oaks |
| State: | CA US |
| Postal Code: | 913611029 |
| Phone Number: | 8055571740 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 01/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |