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General NPI Number Information
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NPI Number | 1457855322
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Entity Type | Organization
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Legal Business Name | LOS ANGELES NEUROSCIENCES, INC.
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 23861 MCBEAN PKWY STE E12
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City | VALENCIA
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State | CA
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Zip | 91355-2077
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Country | US
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Telephone | 661-857-7100
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Fax | 661-481-0239
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Provider Business Mailing Address
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Address Line | 25614 TRENT WAY
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City | STEVENSON RANCH
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State | CA
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Zip | 91381-1471
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CRYSTAL GARIBAY
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Credential |
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Telephone | 661-857-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | A130877
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License Number State | CA
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