MEDICARE: ARGUS NEUROLOGY CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	G80357	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558795021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARGUS NEUROLOGY CORPORATION

Provider Business Mailing Address
First Line	:	6925 FAIRVIEW DR
Second Line	:
City	:	EL CERRITO
State	:	CA
Zip	:	94530-1829
Country	:	US
Telephone Number	:	510-334-1482
Fax Number	:

Provider Business Practice Location Address
First Line	:	6925 FAIRVIEW DR
Second Line	:
City	:	EL CERRITO
State	:	CA
Zip	:	94530-1829
Country	:	US
Telephone Number	:	510-334-1482
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. CLAUDINE GABRIELLA DUTARET
Credential	:	M.D.
Telephone Number	:	510-334-1482

Provider Enumeration Date	:	09/02/2013
Last Update Date	:	09/02/2013

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Directions to “ARGUS NEUROLOGY CORPORATION ” Practice Location

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