Organization
VENTURA ASC LLC
Active
Parent organization
WEST COAST VASCULAR
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST COAST VASCULAR
Authorized official
DR. CHRISTOPHER SHAWN SKILLERN MD (OWNER)
(805) 643-3330
Entity
Organization
Contact information
Practice address
100 N BRENT ST, SUITE 201, VENTURA, CA 93003-2822
(805) 643-3330
Mailing address
100 N BRENT ST, SUITE 201, VENTURA, CA 93003-2822
(805) 643-3330
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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