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NEURODYNAMICS INC NPI 1407932312


NPI Information

NPI: 1407932312
Provider Name: NEURODYNAMICS INC

Former Legal Business Name: NEURODYNAMICS, LLC

Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

Address:
2815 CAMINO DEL RIO S
STE 220
SAN DIEGO, CA
ZIP 92108
Phone: (858) 279-6772
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NEURODYNAMICS INC is a clinical neurophysiology psychiatry neurology in San Diego, CA. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). NEURODYNAMICS INC NPI is 1407932312. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Neurodynamics, Llc.

The provider's business location address is:

2815 CAMINO DEL RIO S
STE 220
SAN DIEGO, CA
ZIP 92108-815
Phone: (858) 279-6772
Fax: (858) 279-7505

The provider's authorized official is Carolyn Bower .
The authorized official title is Ceo and has the following contact phone number (858) 279-6772.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 6/30/2016.


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
1231H00000XAudiologistNo
22084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

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
1GAU000820MEDICAIDCALIFORNIA

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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