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NPI Code Detail

MEDICARE: NEUROSCIENCE ASSOCIATES, A.P.C.

MEDICARE: NEUROSCIENCE ASSOCIATES, A.P.C.
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
1207T00000XNeurological Surgery PhysicianA30021CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A30021OTHERCALICENSE

General Provider Information

NPI Number : 1730266511
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEUROSCIENCE ASSOCIATES, A.P.C.
Provider Business Mailing Address
First Line : 18811 HUNTINGTON ST
Second Line : 130
City : HUNTINGTON BEACH
State : CA
Zip : 92648-6002
Country : US
Telephone Number : 714-435-1111
Fax Number : 562-860-0040
Provider Business Practice Location Address
First Line : 18811 HUNTINGTON ST
Second Line : 130
City : HUNTINGTON BEACH
State : CA
Zip : 92648-6002
Country : US
Telephone Number : 714-435-1111
Fax Number : 562-860-0040
Authorized Official
Title or Position : OWNER
Name : GEORGE LOCKE
Credential : M.D.
Telephone Number : 714-435-1111
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/22/2020

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