MEDICARE: GLOBAL MONITORING, INC

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	246Z00000X	Other Specialist/Technologist	551	CA
2	246ZE0500X	EEG Specialist/Technologist	2656	CA
3	246ZE0600X	Electroneurodiagnostic Specialist/Technologist	57	CA

General Provider Information

NPI Number	:	1720372261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL MONITORING, INC

Provider Business Mailing Address
First Line	:	4095 E LA PALMA AVE STE D
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92807-1704
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4095 E LA PALMA AVE STE D
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92807-1704
Country	:	US
Telephone Number	:	714-630-3195
Fax Number	:	714-630-3984

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NGOC T LEU
Credential	:	CNIM, REEGT, REPT
Telephone Number	:	714-630-3195

Provider Enumeration Date	:	06/01/2011
Last Update Date	:	06/12/2017

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Directions to “GLOBAL MONITORING, INC ” Practice Location

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