Healthcare Provider Details

I. General information

NPI: 1538560842
Provider Name (Legal Business Name): OAKS SURGICAL SPECIALISTS, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2014
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18250 ROSCOE BLVD STE 220
NORTHRIDGE CA
91325-4271
US

IV. Provider business mailing address

18250 ROSCOE BLVD STE 220
NORTHRIDGE CA
91325-4271
US

V. Phone/Fax

Practice location:
  • Phone: 818-280-3901
  • Fax: 805-379-9695
Mailing address:
  • Phone: 818-280-3901
  • Fax: 805-379-9695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WALID S. ARNAOUT
Title or Position: CEO
Credential: M.D
Phone: 818-577-0911