NPI: 1144340662
Provider Name: ENCEPHALOGIC MEDICAL GROUP, INC.
Doing Business As: PACIFIC NEUROSCIENCE MEDICAL GROUP, INC.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization
Specialization: Neurology
CLIA Number: 05D1016962
Address:
1701 SOLAR DR
SUITE 140
OXNARD, CA
ZIP 93030
Phone: (805) 278-4148
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ENCEPHALOGIC MEDICAL GROUP, INC. is a neurology psychiatry neurology in Oxnard, 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. ENCEPHALOGIC MEDICAL GROUP, INC. NPI is 1144340662. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pacific Neuroscience Medical Group, Inc..
The provider's business location address is:
1701 SOLAR DR
SUITE 140
OXNARD, CA
ZIP 93030-134
Phone: (805) 278-4148
Fax: (805) 278-4634
The provider's authorized official is James P. Sutton .
The authorized official title is President - Medical Director and has the following contact phone number (805) 278-4148.
The CLIA number assigned to this NPI record is 05D1016962 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/29/2007 and was last updated on 8/1/2013.