GAMMA NEURO DIAGNOSTICS INC NPI 1932085305

NPI Information

  • NPI: 1932085305
  • Provider Name: GAMMA NEURO DIAGNOSTICS INC
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Address: 510 SUPERIOR AVE STE 200A
    NEWPORT BEACH, CA
    ZIP 92663
  • Phone: (949) 764-8430

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NPI Details

GAMMA NEURO DIAGNOSTICS INC is a clinical neurophysiology psychiatry neurology in Newport Beach, 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). GAMMA NEURO DIAGNOSTICS INC NPI is 1932085305. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

510 SUPERIOR AVE STE 200A
NEWPORT BEACH, CA
ZIP 92663-664
Phone: (949) 764-8430
Fax: (310) 691-1394

The provider's authorized official is Daniel Vitantonio .
The authorized official title is President and has the following contact phone number (310) 923-1437.

The enumeration date for this NPI number is 8/12/2025 and was last updated on 8/12/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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