PHILLIP CONNOLLY NPI 1114312196

NPI Information

  • NPI: 1114312196
  • Provider Name: PHILLIP CONNOLLY
  • Classification: Specialist/Technologist, Other - 246ZE0600X
  • Specialization: Electroneurodiagnostic
  • Entity Type: Individual
  • Address: 409 N PACIFIC COAST HWY STE 166
    REDONDO BEACH, CA
    ZIP 90277
  • Phone: (805) 660-3510

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NPI Details

Phillip Connolly is an electroneurodiagnostic specialist technologist other in Redondo Beach, CA. Phillip Connolly NPI is 1114312196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

409 N PACIFIC COAST HWY STE 166
REDONDO BEACH, CA
ZIP 90277-870
Phone: (805) 660-3510
Fax: (866) 225-3208

The enumeration date for this NPI number is 4/6/2015 and was last updated on 4/6/2015.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticYes

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: 11/21/2025

NPI Synchronization or Removal

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