PARKINSONS MOVEMENT & DISORDER MEDICAL GROUP INC NPI 1881627313

NPI Information

PARKINSONS MOVEMENT & DISORDER MEDICAL GROUP INC is a neurology psychiatry neurology in Fountain Valley, 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. PARKINSONS MOVEMENT & DISORDER MEDICAL GROUP INC NPI is 1881627313. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9940 TALBERT AVE STE 204
FOUNTAIN VALLEY, CA
ZIP 92708-153
Phone: (714) 378-5062
Fax: (714) 378-5061

The provider's authorized official is Jassie M. Sombai .
The authorized official title is Office Administrator and has the following contact phone number (714) 378-5062.

The CLIA number assigned to this NPI record is 05D1064321 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 8/17/2015.

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:

Other Identifiers

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