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General NPI Number Information
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NPI Number | 1952784514
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Entity Type | Organization
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Legal Business Name | L.A. NEURODIAGNOSTICSERVICES INC.
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 1124 W 90TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90044-3312
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Country | US
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Telephone | 213-361-1369
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 W 90TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90044-3312
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Country | US
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Telephone | 213-261-1369
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Fax |
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Authorized Official
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Title or Position | IONM
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Name | JOEL E MENDEZ
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Credential |
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Telephone | 323-234-8762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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