Organization
SERRA MEDICAL AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER P HERSEL MD (OWNER)
(805) 367-7522
Entity
Organization
Contact information
Practice address
1120 NEWBURY RD, THOUSAND OAKS, CA 91320-3663
(805) 367-7522
Mailing address
2545 W HILLCREST DR, THOUSAND OAKS, CA 91320-2296
(805) 367-7522
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
10/01/2019
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