OrganizationActive
California Cerebrovascular Institute Inc
NPI 1912439894 · Surgical Critical Care Physician · Thousand Oaks, CA
Provider details
- NPI number
- 1912439894
- Entity type
- Organization
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Martin Mortazavi, Partner(805) 795-7656
- License
- A118331 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2100 Lynn Rd
Suite 120
Thousand Oaks, CA 91360-1935
Phone: (805) 795-7656
Fax: (805) 494-8621
Approximate (ZIP-level) locationGet directions
Mailing address
3435 E Thousand Oaks Blvd
Westlake Village, CA 91359-7901
Registry dates
- Enumerated
- 2017-03-30
- Last updated
- 2017-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.