# CONEJO VALLEY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1801032750
- **Authorized official:** ADEBAMBO OJURI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (805) 273-5200

## Contact information

- **Practice address:** 311 HAIGH ROAD, SUITE 100, NEWBURY PARK, CA 91320
- **Practice address phone:** (805) 273-5200
- **Practice address fax:** (805) 498-5494
- **Mailing address:** P.O. BOX 881840, LOS ANGELES, CA 90009
- **Mailing address phone:** (805) 273-5200
- **Mailing address fax:** (805) 498-5494

## Taxonomy

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

## Other

- **Enumeration date:** 12/24/2008
- **Last updated:** 04/21/2015