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1043456742 NPI number — CALIFORNIA NEUROMEDICAL SERVICES

NPI Number: 1043456742
Health Care Provider/Practitioner: CALIFORNIA NEUROMEDICAL SERVICES

Information about “1043456742” NPI (CALIFORNIA NEUROMEDICAL SERVICES) exists in 1043456742 in HTML format HTML  |  1043456742 in plain Text format TXT  |  1043456742 in PDF (Portable Document Format) PDF  |  1043456742 in an XML format XML  formats.

NPI Number : 1043456742 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043456742",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CALIFORNIA NEUROMEDICAL SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "511 BROOKSIDE AVE",
    "SecondLineMailingAddress": "STE. 102",
    "MailingAddressCityName": "REDLANDS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92373-4611",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-557-8727",
    "MailingAddressFaxNumber": "909-335-8514",
    "FirstLinePracticeLocationAddress": "301 N PRAIRIE AVE",
    "SecondLinePracticeLocationAddress": "STE.315",
    "PracticeLocationAddressCityName": "INGLEWOOD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90301-4507",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-680-0304",
    "PracticeLocationAddressFaxNumber": "310-680-0305",
    "EnumerationDate": "12/30/2008",
    "LastUpdateDate": "03/22/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "YOUNG",
    "AuthorizedOfficialFirstName": "ROSABEL",
    "AuthorizedOfficialMiddleName": "R",
    "AuthorizedOfficialTitle": "PRESIDENT/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "310-428-2244",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084N0600X",
        "TaxonomyName": "Clinical Neurophysiology Physician",
        "LicenseNumber": "G64157",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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