Healthcare Provider Details

I. General information

NPI: 1447215850
Provider Name (Legal Business Name): SAXON SURGICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 02/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 EAST AVENIDA DE LOS ARBOLES SUITE 101
THOUSAND OAKS CA
91360
US

IV. Provider business mailing address

430 EAST AVENIDA DE LOS ARBOLES SUITE 101
THOUSAND OAKS CA
91360
US

V. Phone/Fax

Practice location:
  • Phone: 805-241-0151
  • Fax: 805-241-0161
Mailing address:
  • Phone: 805-241-0151
  • Fax: 805-241-0161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number050000564
License Number StateCA

VIII. Authorized Official

Name: KAMYAR ASSIL
Title or Position: PRESIDENT
Credential:
Phone: 805-241-0151