Healthcare Provider Details

I. General information

NPI: 1679921910
Provider Name (Legal Business Name): WESTERN NEUROSCIENCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2016
Last Update Date: 05/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3639 HARBOR BLVD STE 215
VENTURA CA
93001-4275
US

IV. Provider business mailing address

3639 HARBOR BLVD STE 215
VENTURA CA
93001-4275
US

V. Phone/Fax

Practice location:
  • Phone: 818-788-0910
  • Fax: 888-959-0337
Mailing address:
  • Phone: 818-788-0910
  • Fax: 888-959-0337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILIP J. MORGAN
Title or Position: OWNER
Credential: M.D.
Phone: 818-788-0910