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General NPI Number Information
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NPI Number | 1932094679
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Entity Type | Organization
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Legal Business Name | VILLAGE OAKS SURGERY CENTER
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 970 S VILLAGE OAKS DR STE 100
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City | COVINA
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State | CA
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Zip | 91724-3626
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Country | US
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Telephone | 626-338-7391
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Fax | 626-814-8308
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Provider Business Mailing Address
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Address Line | PO BOX 1628
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City | WEST COVINA
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State | CA
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Zip | 91793-1628
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Country | US
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Telephone | 310-433-0066
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. BABAK SAMIMI
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Credential | MD
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Telephone | 310-433-0066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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