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MAHMOUD A. KREIDIE NPI 1629291554


NPI Information

NPI: 1629291554
Provider Name: MAHMOUD A. KREIDIE

Doing Business As: NEUROLOGY MEDICAL CENTER

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
26932 OSO PKWY
SUITE 240
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 348-8880
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MAHMOUD A. KREIDIE is a neurology psychiatry neurology in Mission Viejo, 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. MAHMOUD A. KREIDIE NPI is 1629291554. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Neurology Medical Center.

The provider's business location address is:

26932 OSO PKWY
SUITE 240
MISSION VIEJO, CA
ZIP 92691-815
Phone: (949) 348-8880

The provider's authorized official is Mike Kreidie .
The authorized official title is Owner and has the following contact phone number (949) 348-8880.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 6/20/2008.


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 & NeurologyNeurologyA29528CALIFORNIAYes

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
100A295280MEDICAIDCALIFORNIA
2A29528MEDICARE PINCALIFORNIA
3ZZZ62117ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
4=========OTHERCALIFORNIATIN

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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