Provider Demographics
NPI:1114648029
Name:THOUSAND OAKS OUTPATIENT SURGERY CENTER, INC.
Entity Type:Organization
Organization Name:THOUSAND OAKS OUTPATIENT SURGERY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PARIZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-469-6344
Mailing Address - Street 1:3299 OLD CONEJO RD STE 6
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-2152
Mailing Address - Country:US
Mailing Address - Phone:818-359-8833
Mailing Address - Fax:877-727-9225
Practice Address - Street 1:3299 OLD CONEJO RD STE 6
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-2152
Practice Address - Country:US
Practice Address - Phone:818-359-8833
Practice Address - Fax:877-727-9225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical