Organization
VENTURA OUTPATIENT SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D. BRANTNER M.D. (PRESIDENT)
(805) 653-6765
Entity
Organization
Contact information
Practice address
3555 LOMA VISTA RD, SUITE 204, VENTURA, CA 93003-3161
(805) 653-6765
(805) 653-1470
Mailing address
3555 LOMA VISTA RD, SUITE 204, VENTURA, CA 93003-3161
(805) 653-6765
(805) 653-1470
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
050000359
CA
Other
Enumeration date
01/11/2007
Last updated
07/14/2011
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