Provider Demographics
NPI:1932094679
Name:VILLAGE OAKS SURGERY CENTER
Entity type:Organization
Organization Name:VILLAGE OAKS SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BABAK
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-433-0066
Mailing Address - Street 1:PO BOX 1628
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91793-1628
Mailing Address - Country:US
Mailing Address - Phone:310-433-0066
Mailing Address - Fax:
Practice Address - Street 1:970 S VILLAGE OAKS DR STE 100
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-3626
Practice Address - Country:US
Practice Address - Phone:626-338-7391
Practice Address - Fax:626-814-8308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty