Healthcare Provider Details

I. General information

NPI: 1720372261
Provider Name (Legal Business Name): GLOBAL MONITORING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2011
Last Update Date: 06/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4095 E LA PALMA AVE STE D
ANAHEIM CA
92807-1704
US

IV. Provider business mailing address

4095 E LA PALMA AVE STE D
ANAHEIM CA
92807-1704
US

V. Phone/Fax

Practice location:
  • Phone: 714-630-3195
  • Fax: 714-630-3984
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number551
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code246ZE0500X
TaxonomyEEG Specialist/Technologist
License Number2656
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number57
License Number StateCA

VIII. Authorized Official

Name: MR. NGOC T LEU
Title or Position: PRESIDENT
Credential: CNIM, REEGT, REPT
Phone: 714-630-3195