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NPI Code Detail

MEDICARE: NEURON DIAGNOSTIC SERVICES, INC.

MEDICARE: NEURON DIAGNOSTIC SERVICES, INC.
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
12084V0102XVascular Neurology Physician

General Provider Information

NPI Number : 1740219468
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEURON DIAGNOSTIC SERVICES, INC.
Provider Business Mailing Address
First Line : 1127 WILSHIRE BLVD STE 1416
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-4005
Country : US
Telephone Number : 818-250-8895
Fax Number :
Provider Business Practice Location Address
First Line : 1127 WILSHIRE BLVD STE 1416
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-4005
Country : US
Telephone Number : 818-250-8895
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. ARTHUR DAVTYAN
Credential :
Telephone Number : 213-250-8895
Provider Enumeration Date : 07/03/2006
Last Update Date : 08/22/2020

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Directions to “NEURON DIAGNOSTIC SERVICES, INC. ” Practice Location

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