Organization
OAK TREE SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM DANESHGAR M.D. (OWNER)
(805) 371-8404
Entity
Organization
Contact information
Practice address
2230 LYNN RD, SUITE 320, THOUSAND OAKS, CA 91360-1901
(805) 371-8400
(805) 371-8404
Mailing address
2230 LYNN RD., SUITE 320, THOUSAND OAKS, CA 91360
(805) 371-8400
(805) 371-8404
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2009
Last updated
05/18/2012
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