Organization
ADVANCED SPECIALTY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL JOHNSON M.D. (MEDICAL DIRECTOR)
(818) 348-7246
Entity
Organization
Contact information
Practice address
625 N A ST, SUITE 300, OXNARD, CA 93030-4919
(805) 351-5517
(805) 351-5523
Mailing address
7230 MEDICAL CENTER DR, WEST HILLS, CA 91307-1907
(818) 348-7246
(818) 348-7248
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
04/14/2016
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