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Organization
INTEGRATED SURGICAL CENTER
Active
Organization
INTEGRATED SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE BROWN COMPLIANCE (ADMINISTRATION)
(805) 719-6611
Entity
Organization
Contact information
Practice address
550 SAINT CHARLES DR STE 101, THOUSAND OAKS, CA 91360-3971
(805) 719-6611
(805) 719-6622
Mailing address
550 SAINT CHARLES DR STE 101, THOUSAND OAKS, CA 91360-3971
(805) 719-6611
(805) 719-6622
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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