Healthcare Provider Details

I. General information

NPI: 1932094679
Provider Name (Legal Business Name): VILLAGE OAKS SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 S VILLAGE OAKS DR STE 100
COVINA CA
91724-3626
US

IV. Provider business mailing address

PO BOX 1628
WEST COVINA CA
91793-1628
US

V. Phone/Fax

Practice location:
  • Phone: 626-338-7391
  • Fax: 626-814-8308
Mailing address:
  • Phone: 310-433-0066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BABAK SAMIMI
Title or Position: CEO
Credential: MD
Phone: 310-433-0066