MEDICARE: SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	050000216	CA

General Provider Information

NPI Number	:	1063495190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	2975 SYCAMORE DR
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-1201
Country	:	US
Telephone Number	:	805-955-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2975 SYCAMORE DR
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-1201
Country	:	US
Telephone Number	:	805-955-6000
Fax Number	:	805-526-0837

Authorized Official
Title or Position	:	TREASURER
Name	:	MEREDITH JOBE
Credential	:
Telephone Number	:	916-406-0000

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	11/03/2025

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