=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447940556
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CORTEX NEUROLOGY SPECIALISTS INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2023
-----------------------------------------------------
Last Update Date | 01/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4835 VAN NUYS BLVD STE 208
-----------------------------------------------------
City | SHERMAN OAKS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91403-2142
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-222-2326
-----------------------------------------------------
Fax | 661-222-9444
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4835 VAN NUYS BLVD STE 208
-----------------------------------------------------
City | SHERMAN OAKS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91403-2142
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-265-2245
-----------------------------------------------------
Fax | 818-265-2245
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PHYSICIAN
-----------------------------------------------------
Name | ARTIN MINAEIAN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 818-265-2245
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------