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SADDLEBACK VALLEY NEUROSCIENCE MEDICAL GROUP NPI 1033290218


NPI Information

NPI: 1033290218
Provider Name: SADDLEBACK VALLEY NEUROSCIENCE MEDICAL GROUP
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
23961 CALLE DE LA MAGDALENA
SUITE 317
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 837-1133
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SADDLEBACK VALLEY NEUROSCIENCE MEDICAL GROUP is a neurology psychiatry neurology in Laguna 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. SADDLEBACK VALLEY NEUROSCIENCE MEDICAL GROUP NPI is 1033290218. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23961 CALLE DE LA MAGDALENA
SUITE 317
LAGUNA HILLS, CA
ZIP 92653-616
Phone: (949) 837-1133
Fax: (949) 830-1154

The provider's authorized official is William G Preston .
The authorized official title is President and has the following contact phone number (949) 837-1133.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 12/17/2008.


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 & NeurologyNeurologyYes

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
10614290001MEDICARE NSCCALIFORNIA
2=========OTHERCALIFORNIATAX ID #

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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