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Organization

ROLLING OAKS SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KOUROS AZAR M.D. (MANAGER)
(805) 373-7073
Entity
Organization

Contact information

Practice address
415 ROLLING OAKS DR, SUITE 115, THOUSAND OAKS, CA 91361-1029
(805) 373-7073
(805) 373-1116
Mailing address
425 HAALAND DR, SUITE 200, THOUSAND OAKS, CA 91361-5229
(805) 373-7073
(805) 373-1116

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A79029
CA

Other

Enumeration date
08/25/2014
Last updated
11/20/2014
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