Organization
VENTURA ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESU N LIN MD (MEDICAL DIRECTOR/CMS AUTHORIZED OFF)
(805) 641-6525
Entity
Organization
Contact information
Practice address
5810 RALSTON STREET, SUITE 101, VENTURA, CA 93003
(805) 650-5500
(805) 650-5505
Mailing address
5810 RALSTON STREET, SUITE 101, VENTURA, CA 93003-6010
(805) 650-5500
(805) 650-5505
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
50000592
CA
Other
Enumeration date
09/12/2006
Last updated
07/11/2011
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