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LA NEURO MEDICAL GROUP NPI 1578116877


NPI Information

NPI: 1578116877
Provider Name: LA NEURO MEDICAL GROUP
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

Address:
11843 DOROTHY ST APT 2
LOS ANGELES, CA
ZIP 90049
Phone: (424) 245-5884
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LA NEURO MEDICAL GROUP is a clinical neurophysiology psychiatry neurology in Los Angeles, 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). LA NEURO MEDICAL GROUP NPI is 1578116877. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11843 DOROTHY ST APT 2
LOS ANGELES, CA
ZIP 90049-456
Phone: (424) 245-5884

The provider's authorized official is Octavio Calderon .
The authorized official title is Partner and has the following contact phone number (310) 883-4624.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 7/17/2019.


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
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

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: 11/14/2023

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