Organization
ADVANCED DIGESTIVE CENTER OF SOUTHERN CALIFORNIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT SIMONI M.D. (MEDICAL DIRECTOR)
(805) 719-0244
Entity
Organization
Contact information
Practice address
555 MARIN ST STE 270, THOUSAND OAKS, CA 91360-4112
(805) 719-0244
Mailing address
555 MARIN ST STE 270A, THOUSAND OAKS, CA 91360-4112
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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