# VENTURA ENDOSCOPY CENTER LLC

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

## Provider details

- **NPI number:** 1710081443
- **Authorized official:** TESU N LIN MD (MEDICAL DIRECTOR/CMS AUTHORIZED OFF)
- **Authorized official phone:** (805) 641-6525

## Contact information

- **Practice address:** 5810 RALSTON STREET, SUITE 101, VENTURA, CA 93003
- **Practice address phone:** (805) 650-5500
- **Practice address fax:** (805) 650-5505
- **Mailing address:** 5810 RALSTON STREET, SUITE 101, VENTURA, CA 93003-6010
- **Mailing address phone:** (805) 650-5500
- **Mailing address fax:** (805) 650-5505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 50000592 | CA | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 07/11/2011