California Minimally Invasive Surgical Center, INC.
Clinic/Center, Ambulatory Surgical in Newbury Park, CA. Organization (NPI-2).
NPI number1619087772
StatusActive
Last updated in NPPESJun 24, 2009
Details
- NPI
- 1619087772
- Entity type
- Organization (NPI-2)
- Legal business name
- California Minimally Invasive Surgical Center, INC.
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jun 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | C31784 | CA | Yes |
Practice location
1001 Newbury Rd#102
Newbury Park, CA 91320-6434
Phone 805-375-7955 · Fax 805-375-7986
Mailing address
1001 Newbury Rd#102
Newbury Park, CA 91320-6434
Phone 805-375-7955 · Fax 805-375-7986
Authorized official
John Chih Chiu
Ceo/President
8053757955
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