# PCSC 15 INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PACIFIC SURGERY CENTER OF VTA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073693123
- **Authorized official:** MR. KEITH WINTERMUTE (ADMINISTRATOR)
- **Authorized official phone:** (805) 644-9001

## Contact information

- **Practice address:** 3805 TELEGRAPH RD, VENTURA, CA 93003-3422
- **Practice address phone:** (805) 644-9001
- **Practice address fax:** (805) 654-1103
- **Mailing address:** 3805 TELEGRAPH RD, VENTURA, CA 93003-3422
- **Mailing address phone:** (805) 644-9001
- **Mailing address fax:** (805) 654-1103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 050000581 | CA | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 04/28/2008