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INNOVATIVE NEUROLOGY INC. NPI 1104434075


NPI Information

NPI: 1104434075
Provider Name: INNOVATIVE NEUROLOGY, INC.

Other Name: INNOVATIVE NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
24671 MONROE AVE # C102
MURRIETA, CA
ZIP 92562
Phone: (951) 797-4446
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INNOVATIVE NEUROLOGY, INC. is a neurology psychiatry neurology in Murrieta, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. INNOVATIVE NEUROLOGY, INC. NPI is 1104434075. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Innovative Neurology.

The provider's business location address is:

24671 MONROE AVE # C102
MURRIETA, CA
ZIP 92562-589
Phone: (951) 797-4446
Fax: (833) 989-2495

The provider's authorized official is Janice Raquel Fuentes .
The authorized official title is Authorized Official and has the following contact phone number (619) 306-1127.

The enumeration date for this NPI number is 7/16/2020 and was last updated on 2/15/2021.


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
12084N0400XPsychiatry & NeurologyNeurologyYes

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: 5/5/2024

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