Provider Demographics
NPI:1922104710
Name:OAKS SURGERY CENTER LP
Entity Type:Organization
Organization Name:OAKS SURGERY CENTER LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:HOK-SAN
Authorized Official - Last Name:THIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-304-2200
Mailing Address - Street 1:40960 CALIFORNIA OAKS RD
Mailing Address - Street 2:#210
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5747
Mailing Address - Country:US
Mailing Address - Phone:951-600-1091
Mailing Address - Fax:951-600-1208
Practice Address - Street 1:40740 CALIFORNIA OAKS RD
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5727
Practice Address - Country:US
Practice Address - Phone:951-304-2200
Practice Address - Fax:951-304-2281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250000779261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ25029ZMedicare ID - Type Unspecified