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SOUTH BAY NEUROLOGY MEDICAL CORPORATION NPI 1659992527


NPI Information

NPI: 1659992527
Provider Name: SOUTH BAY NEUROLOGY MEDICAL CORPORATION

Doing Business As: SOUTH BAY NEUROLOGY

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
3655 LOMITA BLVD STE 302
TORRANCE, CA
ZIP 90505
Phone: (424) 383-1045
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SOUTH BAY NEUROLOGY MEDICAL CORPORATION is a medical specialty clinic center in Torrance, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SOUTH BAY NEUROLOGY MEDICAL CORPORATION NPI is 1659992527. The provider is registered as an organization entity type.
The provider Is Doing Business As South Bay Neurology.

The provider's business location address is:

3655 LOMITA BLVD STE 302
TORRANCE, CA
ZIP 90505-919
Phone: (424) 383-1045

The provider's authorized official is Nazila Rad .
The authorized official title is President and has the following contact phone number (310) 748-8363.

The enumeration date for this NPI number is 5/2/2020 and was last updated on 5/25/2020.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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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