Organization
OAKS SURGICAL SUITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL W NELSON MD (MEMBER)
(805) 379-2322
Entity
Organization
Contact information
Practice address
558 SAINT CHARLES DR, SUITE 200, THOUSAND OAKS, CA 91360-3903
(805) 379-2322
(805) 379-2373
Mailing address
558 SAINT CHARLES DR, SUITE 200, THOUSAND OAKS, CA 91360-3903
(805) 379-2322
(805) 379-2373
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
10/16/2015
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