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Organization
PCSC 15 INC
Active
Organization
PCSC 15 INC
Active
Other names
PACIFIC SURGERY CENTER OF VTA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH WINTERMUTE (ADMINISTRATOR)
(805) 644-9001
Entity
Organization
Contact information
Practice address
3805 TELEGRAPH RD, VENTURA, CA 93003-3422
(805) 644-9001
(805) 654-1103
Mailing address
3805 TELEGRAPH RD, VENTURA, CA 93003-3422
(805) 644-9001
(805) 654-1103
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
050000581
CA
Other
Enumeration date
10/16/2006
Last updated
04/28/2008
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