# CALABASAS CENTER FOR ORAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053552562
- **Authorized official:** DR. ALEXEI I MIZIN DMD (PRESIDENT)
- **Authorized official phone:** (818) 225-2211

## Contact information

- **Practice address:** 24013 VENTURA BLVD, SUITE 100, CALABASAS, CA 91302-1447
- **Practice address phone:** (818) 225-2211
- **Practice address fax:** (818) 225-7478
- **Mailing address:** 24013 VENTURA BLVD, SUITE 100, CALABASAS, CA 91302-1447
- **Mailing address phone:** (818) 225-2211
- **Mailing address fax:** (818) 225-7478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 54286 | CA | Yes |

## Other

- **Enumeration date:** 03/12/2009
- **Last updated:** 12/30/2014