# INTEGRATED SURGICAL CENTER

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

## Provider details

- **NPI number:** 1457917320
- **Authorized official:** MS. NICOLE BROWN COMPLIANCE (ADMINISTRATION)
- **Authorized official phone:** (805) 719-6611

## Contact information

- **Practice address:** 550 SAINT CHARLES DR STE 101, THOUSAND OAKS, CA 91360-3971
- **Practice address phone:** (805) 719-6611
- **Practice address fax:** (805) 719-6622
- **Mailing address:** 550 SAINT CHARLES DR STE 101, THOUSAND OAKS, CA 91360-3971
- **Mailing address phone:** (805) 719-6611
- **Mailing address fax:** (805) 719-6622

## Taxonomy

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

## Other

- **Enumeration date:** 05/15/2019
- **Last updated:** 05/15/2019