Organization
ST. JOHN'S OUTPATIENT SURGERY CENTER, LP
Active
Other names
St. John's Outpatient Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE L. REED (AUTHORIZED OFFICIAL)
(972) 763-3859
Entity
Organization
Contact information
Practice address
1700 NORTH ROSE AVENUE, SUITE 100, OXNARD, CA 93030-3796
(805) 204-5000
(805) 204-5010
Mailing address
1700 NORTH ROSE AVENUE, SUITE 100, OXNARD, CA 93030-3796
(805) 204-5000
(805) 204-5010
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
06-00085474
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01761F
—
CA
Enumeration date
01/27/2006
Last updated
05/22/2009
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