# SERRA MEDICAL AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1922561042
- **Authorized official:** DR. ALEXANDER P HERSEL MD (OWNER)
- **Authorized official phone:** (805) 367-7522

## Contact information

- **Practice address:** 1120 NEWBURY RD, THOUSAND OAKS, CA 91320-3663
- **Practice address phone:** (805) 367-7522
- **Mailing address:** 2545 W HILLCREST DR, THOUSAND OAKS, CA 91320-2296
- **Mailing address phone:** (805) 367-7522

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2019
- **Last updated:** 10/01/2019