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VICTOR VALLEY NEUROLOGY INC NPI 1083759195


NPI Information

NPI: 1083759195
Provider Name: VICTOR VALLEY NEUROLOGY, INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
15995 TUSCOLA RD
SUITE 203
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 946-4004
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VICTOR VALLEY NEUROLOGY, INC is a neurology psychiatry neurology in Apple 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. VICTOR VALLEY NEUROLOGY, INC NPI is 1083759195. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15995 TUSCOLA RD
SUITE 203
APPLE VALLEY, CA
ZIP 92307-159
Phone: (760) 946-4004
Fax: (760) 946-4944

The provider's authorized official is Noel Cuevas Bernales .
The authorized official title is President and has the following contact phone number (760) 946-4004.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyA69492CALIFORNIAYes

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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