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PACIFIC NEUROSCIENCE INSTITUTE MEDICAL GROUP INC NPI 1750732533


NPI Information

NPI: 1750732533
Provider Name: PACIFIC NEUROSCIENCE INSTITUTE MEDICAL GROUP INC
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
11645 WILSHIRE BOULEVARD
6TH FLOOR
LOS ANGELES, CA
ZIP 90025
Phone: (310) 477-5558
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PACIFIC NEUROSCIENCE INSTITUTE MEDICAL GROUP INC is a neurological surgery in Los Angeles, CA. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. PACIFIC NEUROSCIENCE INSTITUTE MEDICAL GROUP INC NPI is 1750732533. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11645 WILSHIRE BOULEVARD
6TH FLOOR
LOS ANGELES, CA
ZIP 90025-807
Phone: (310) 477-5558
Fax: (310) 477-7281

The provider's authorized official is Daniel F Kelly .
The authorized official title is Chairman and has the following contact phone number (310) 477-5558.

The enumeration date for this NPI number is 6/23/2016 and was last updated on 6/23/2016.


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
1207T00000XNeurological SurgeryFNP545334CALIFORNIAYes

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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