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General NPI Number Information
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NPI Number | 1922104710
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Entity Type | Organization
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Legal Business Name | OAKS SURGERY CENTER LP
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 40740 CALIFORNIA OAKS RD
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City | MURRIETA
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State | CA
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Zip | 92562-5727
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Country | US
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Telephone | 951-304-2200
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Fax | 951-304-2281
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Provider Business Mailing Address
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Address Line | 40960 CALIFORNIA OAKS RD #210
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City | MURRIETA
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State | CA
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Zip | 92562-5747
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Country | US
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Telephone | 951-600-1091
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Fax | 951-600-1208
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ANDREW HOK-SAN THIO
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Credential | M.D.
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Telephone | 951-304-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 250000779
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License Number State | CA
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