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PREMIER NEUROLOGY MEDICAL GROUP INC NPI 1508160664


NPI Information

NPI: 1508160664
Provider Name: PREMIER NEUROLOGY MEDICAL GROUP INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
415 N CRESCENT DR
STE 110
BEVERLY HILLS, CA
ZIP 90210
Phone: (818) 307-0074
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PREMIER NEUROLOGY MEDICAL GROUP INC is a neurology psychiatry neurology in Beverly Hills, 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. PREMIER NEUROLOGY MEDICAL GROUP INC NPI is 1508160664. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

415 N CRESCENT DR
STE 110
BEVERLY HILLS, CA
ZIP 90210
Phone: (818) 307-0074
Fax: (310) 432-2889

The provider's authorized official is Joann Pecoraro .
The authorized official title is Biz Mgr and has the following contact phone number (818) 307-0074.

The enumeration date for this NPI number is 1/4/2011 and was last updated on 3/7/2024.


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 & NeurologyNeurologyA50944CALIFORNIAYes

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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