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FLAGSTAFF NEUROLOGY NPI 1518136241


NPI Information

NPI: 1518136241
Provider Name: FLAGSTAFF NEUROLOGY
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
4275 EXECUTIVE SQ STE 200
LA JOLLA, CA
ZIP 92037
Phone: (619) 403-1701
Get Directions

FLAGSTAFF NEUROLOGY 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. FLAGSTAFF NEUROLOGY NPI is 1518136241. The provider is registered as an organization entity type and is a 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

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

The enumeration date for this NPI number is 2/27/2008 and was last updated on 8/21/2012.


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 & NeurologyNeurology33297ARIZONAYes

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
1Z100913MEDICARE PINARIZONA

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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