MEDICARE: CURRENT DIAGNOSTICS PROFESSIONAL II, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1376312132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURRENT DIAGNOSTICS PROFESSIONAL II, LLC

Provider Business Mailing Address
First Line	:	3004 COMMUNICATIONS PKWY STE 200313
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8909
Country	:	US
Telephone Number	:	214-390-7697
Fax Number	:	714-524-9211

Provider Business Practice Location Address
First Line	:	21921 STARFIRE LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-7911
Country	:	US
Telephone Number	:	214-390-7697
Fax Number	:	714-524-9211

Authorized Official
Title or Position	:	OWNER
Name	:	JANET FILSINGER
Credential	:	CNIM
Telephone Number	:	714-293-5801

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	12/21/2023

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