RIDGE SURGICAL CENTER NPI 1194175117

NPI Information

  • NPI: 1194175117
  • Provider Name: RIDGE SURGICAL CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2118543
  • Address: 30300 AGOURA RD
    SUITE B160
    AGOURA HILLS, CA
    ZIP 91301
  • Phone: (818) 889-1858

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NPI Details

RIDGE SURGICAL CENTER is an ambulatory surgical clinic center in Agoura Hills, CA. RIDGE SURGICAL CENTER NPI is 1194175117. The provider is registered as an organization entity type.

The provider's business location address is:

30300 AGOURA RD
SUITE B160
AGOURA HILLS, CA
ZIP 91301-400
Phone: (818) 889-1858
Fax: (818) 889-1758

The provider's authorized official is Anthony Andrew Virella .
The authorized official title is Medical Director and has the following contact phone number (818) 889-1858.

The CLIA number assigned to this NPI record is 05D2118543 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2016 and was last updated on 6/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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