Organization
LOS ROBLES SURGICENTER, LLC
Active
Other names
Los Robles Surgicenter
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
2190 LYNN RD, SUITE 100, THOUSAND OAKS, CA 91360-1980
(805) 497-3737
(805) 373-8878
Mailing address
2190 LYNN RD, SUITE 100, THOUSAND OAKS, CA 91360-1980
(805) 497-3737
(805) 373-8878
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
05000028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-C0001215
DEPT OF HEALTH & HUMAN SE
CA
Enumeration date
01/24/2007
Last updated
04/04/2018
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