Sacramento Advanced Laparoscopic Surgery
Sacramento Advanced Laparoscopic Surgery is a Surgery Physician in Thousand Oaks, California. Licensed in California. Registered with an NPI since 2016.
- Licensed in
- CA
- In the registry since
- 2016
Practice location Address checks out
110 Jensen Ct Ste 1BThousand Oaks, CA 91360-7483
Phone: (805) 230-0030
Fax: (805) 230-2995
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence G75982 (CA) |
|---|
Record details
| NPI number | 1316395395 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Sacramento Advanced Laparoscopic Surgery |
| Authorized official | Donald Waldrep — Md / Ceo · (805) 230-0030 |
| Other names | Donald Waldrep, Md |
| NPI enumerated | May 31, 2016 |
| Last updated in NPPES | March 29, 2024 |
| Certification date | March 11, 2024 |
| Mailing address | 110 Jensen Ct, Suite 1b, Thousand Oaks, CA 91360-7483 |
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