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Organization

SPENCER EYE SURGERY & LASER CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFTON C BAZHAW (CHIEF REVENUE OFFICER)
(214) 893-0471
Entity
Organization

Contact information

Practice address
2486 N PONDEROSA DR, SUITE D110, CAMARILLO, CA 93010-2376
(805) 983-0923
(805) 484-5857
Mailing address
1200 W GONZALES RD STE 200, OXNARD, CA 93036-3074
(805) 983-0923
(805) 983-0976

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S551002
CA

Other

Enumeration date
01/22/2007
Last updated
02/05/2026
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