Provider Demographics
NPI:1457637290
Name:OCEAN SURGERY CENTER
Entity Type:Organization
Organization Name:OCEAN SURGERY CENTER
Other - Org Name:RONALD STRAHAN A MEDICAL CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:STRAHAAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-394-0500
Mailing Address - Street 1:28222 AGOURA RD
Mailing Address - Street 2:#101-102
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2411
Mailing Address - Country:US
Mailing Address - Phone:310-394-0500
Mailing Address - Fax:
Practice Address - Street 1:28222 AGOURA RD
Practice Address - Street 2:#101-102
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2411
Practice Address - Country:US
Practice Address - Phone:310-394-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC28592261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical