Organization
WESTLAKE SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD NIKCHEVICH DDS (CEO)
(805) 495-7416
Entity
Organization
Contact information
Practice address
911 HAMPSHIRE RD., SUITE 2, WESTLAKE VILLAGE, CA 91361-2818
(805) 370-5522
(805) 370-5523
Mailing address
911 HAMPSHIRE RD., SUITE 2, WESTLAKE VILLAGE, CA 91361
(805) 370-5522
(805) 370-5523
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
550000254
CA
Other
Enumeration date
03/15/2007
Last updated
04/25/2017
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