Organization
JOURNEY LITE OF THE CENTRAL COAST, LLC
Active
Other names
Conejo Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
333 S MOORPARK RD, SUITE 339, THOUSAND OAKS, CA 91361-1008
(805) 497-3690
Mailing address
333 S MOORPARK RD, SUITE 339, THOUSAND OAKS, CA 91361-1008
(805) 497-3690
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
APPLIED FOR
CA
Other
Enumeration date
09/26/2006
Last updated
03/08/2023
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