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ANTELOPE VALLEY NEUROSCIENCE NPI 1114912979


NPI Information

NPI: 1114912979
Provider Name: ANTELOPE VALLEY NEUROSCIENCE
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
42135 10TH ST W
SUITE 301
LANCASTER, CA
ZIP 93534
Phone: (661) 945-6931
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ANTELOPE VALLEY NEUROSCIENCE is a neurology psychiatry neurology in Lancaster, 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. ANTELOPE VALLEY NEUROSCIENCE NPI is 1114912979. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

42135 10TH ST W
SUITE 301
LANCASTER, CA
ZIP 93534-095
Phone: (661) 945-6931
Fax: (661) 945-4592

The provider's authorized official is Abdallah S Farrukh .
The authorized official title is Partner and has the following contact phone number (661) 945-6931.

The enumeration date for this NPI number is 9/16/2005 and was last updated on 10/7/2014.


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
1207T00000XNeurological SurgeryNo
2363LF0000XNurse PractitionerFamilyNP20677CALIFORNIANo
32084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ83620ZMEDICAIDCALIFORNIA
2HW5872MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3W5872MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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: 4/28/2024

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