Healthcare Provider Details

I. General information

NPI: 1255472841
Provider Name (Legal Business Name): LYNN EYE SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 LYNN RD STE 106
THOUSAND OAKS CA
91360-1972
US

IV. Provider business mailing address

75 ENTERPRISE
ALISO VIEJO CA
92656-2629
US

V. Phone/Fax

Practice location:
  • Phone: 805-370-3137
  • Fax: 805-370-3242
Mailing address:
  • Phone: 877-455-9942
  • Fax:

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: JOEL MICHAEL CORWIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 805-370-3137