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PAC NEURO INC NPI 1700821915


NPI Information

NPI: 1700821915
Provider Name: PAC NEURO INC
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
3590 CAMINO DEL RIO NO.
SUITE# 200
SAN DIEGO, CA
ZIP 92108
Phone: (619) 810-1010
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PAC NEURO INC is a neurological surgery in San Diego, CA. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. PAC NEURO INC NPI is 1700821915. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3590 CAMINO DEL RIO NO.
SUITE# 200
SAN DIEGO, CA
ZIP 92108-716
Phone: (619) 810-1010
Fax: (619) 810-1011

The provider's authorized official is Sanjay Ghosh .
The authorized official title is President and has the following contact phone number (619) 810-1010.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 7/21/2022.


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 SurgeryCALIFORNIAYes

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
100A625630MEDICAIDCALIFORNIA

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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