Healthcare Provider Details

I. General information

NPI: 1235686791
Provider Name (Legal Business Name): OAKS SURGICAL CENTER,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 04/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 TRADE CENTER DR SUITE B
BAKERSFIELD CA
93311-8716
US

IV. Provider business mailing address

7230 MEDICAL CENTER DR SUITE 500
WEST HILLS CA
91307-1907
US

V. Phone/Fax

Practice location:
  • Phone: 661-836-5521
  • Fax: 661-836-5808
Mailing address:
  • Phone: 818-348-7246
  • Fax: 818-348-7248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REBECCA RIEDEL
Title or Position: DIRECTOR OF CLINICAL OPERATIONS
Credential: R.N.
Phone: 818-348-7246