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SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY NPI 1114271665


NPI Information

NPI: 1114271665
Provider Name: SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
4275 EXECUTIVE SQ STE 200
LA JOLLA, CA
ZIP 92037
Phone: (619) 403-1701
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SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY is a neurology psychiatry neurology in La Jolla, 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. SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY NPI is 1114271665. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4275 EXECUTIVE SQ STE 200
LA JOLLA, CA
ZIP 92037-476
Phone: (619) 403-1701
Fax: (619) 810-2863

The provider's authorized official is Panna Ramanlal Shah .
The authorized official title is Physician and has the following contact phone number (619) 403-1701.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 11/6/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyC53290CALIFORNIAYes

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: 11/14/2023

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