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General NPI Number Information
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NPI Number | 1861963365
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Entity Type | Organization
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Legal Business Name | CAPITOL CLINICAL NEUROSCIENCE, INC.
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Dates
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Enumeration Date | 12/09/2018
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Last Update Date | 07/20/2019
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Provider Practice Location Address
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Address Line | 5650 MARCONI AVE STE 6
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City | CARMICHAEL
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State | CA
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Zip | 95608-4467
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Country | US
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Telephone | 916-799-1801
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Fax |
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Provider Business Mailing Address
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Address Line | 104 SUMMER SHADE CT
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City | FOLSOM
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State | CA
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Zip | 95630-1565
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Country | US
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Telephone | 916-799-1801
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Fax | 916-988-9919
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Authorized Official
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Title or Position | OWNER
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Name | PAUL ELIAS KAPLAN
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Credential |
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Telephone | 916-799-1801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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