CONEJO VALLEY OUTPATIENT CENTER, LLC (NPI# 1437567765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437567765 |
| Entity Type | Organization |
| Organization Name | CONEJO VALLEY OUTPATIENT CENTER, LLC |
| Practice Address |
1127 Wilshire Blvd Suite 1000 Los Angeles CA 90017-3901 |
| Mailing Address |
Po Box 881840 Los Angeles CA 90009-3013 |
| Practice Telephone | 3108464155 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2015-11-02 |
| Authorized Official Name | ROBERT FAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3108464155 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1127 WILSHIRE BLVD SUITE 1000 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926730 | Jeffrey Merrick Sage | Ophthalmology | 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 | 2005-07-15 |
| 1225563281 | Jeffrey M Sage D.o. Inc. | Ophthalmology | 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 | 2017-04-27 |
| 1467996793 | Select Surgical, LLC | Clinic/Center | 1127 Wilshire Blvd, Suite 1000, Los Angeles, CA 90017-3901 | 2016-12-06 |
| 1427509140 | Soha Dolatabadi Md A Professional Corporation | Internal Medicine | 1127 Wilshire Blvd, Suite 708, Los Angeles, CA 90017-3901 | 2016-10-18 |
| 1558810754 | Elan Allison | Orthotist | 1127 Wilshire Blvd, 310, Los Angeles, CA 90017-3901 | 2016-09-28 |
| 1811355134 | Natasha Pejman-gonzalez | Student in an Organized Health Care Education/Training Program | 1127 Wilshire Blvd, Suite 1504, Los Angeles, CA 90017-3901 | 2016-02-01 |
| 1790158921 | Los Angeles Kidney Center A Professional Corporation | Internal Medicine | 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 | 2015-11-10 |
| 1295110294 | Carlos S Martinez Md Inc | Internal Medicine | 1127 Wilshire Blvd, Ste 1100, Los Angeles, CA 90017-3901 | 2015-07-21 |
| 1114308905 | Connect Hearing, Inc. | Audiologist | 1127 Wilshire Blvd, Ste 1202, Los Angeles, CA 90017-4003 | 2015-06-17 |
| 1699173922 | Jah Hand Surgery | Orthopaedic Surgery | 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 | 2014-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1659926327 | Westside Anesthesia Group A Medical Corporation | Clinic/Center | 1964 Westwood Blvd Ste 436, Los Angeles, CA 90025-4695 | 2019-08-08 |
| 1558832741 | Grand Avenue Surgery Center, LLC | Clinic/Center | 1513 S Grand Ave Ste 350, Los Angeles, CA 90015-3075 | 2018-12-16 |
| 1700351194 | Integrative Surgical Associates Group, LLC. | Clinic/Center | 5757 Wilshire Blvd # P2, Los Angeles, CA 90036-5810 | 2018-10-11 |
| 1982180782 | Robertson Surgery Center Inc. | Clinic/Center | 822 S Robertson Blvd Ste 100b, Los Angeles, CA 90035-1613 | 2018-07-14 |
| 1972055382 | Alliance Surgery Partners, LLC | Clinic/Center | 1828 E Cesar Chavez Ave, Los Angeles, CA 90033-2424 | 2016-11-02 |
| 1164895744 | Los Angeles Ambulatory Surgery Center LLC | Clinic/Center | 266 S Harvard Blvd Ste 200, Los Angeles, CA 90004-4339 | 2015-11-04 |
| 1255752747 | Elite Surgery Center of Beverly Hills | Clinic/Center | 6310 San Vicente Blvd Ste 101b, Los Angeles, CA 90048-5498 | 2013-12-30 |
| 1942548003 | Sierra Surgical Services, LLC | Clinic/Center | 2202 S Figueroa St # 6601, Los Angeles, CA 90007-2049 | 2013-01-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on CONEJO VALLEY OUTPATIENT CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.