Organization
DLV VISION ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON BAZHAW (CHIEF REVENUE OFFICER)
(214) 893-0471
Entity
Organization
Contact information
Practice address
3180 WILLOW LN STE 118, THOUSAND OAKS, CA 91361-4986
(805) 987-5300
(818) 707-7668
Mailing address
4353 PARK TERRACE DR STE 150, WESTLAKE VILLAGE, CA 91361-4639
(805) 987-5300
(818) 707-7668
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
02/05/2026
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