| California Neurological Center, Inc. | |
|
227 W Janss Rd Ste 135 Thousand Oaks CA 91360-1857 | |
| (415) 377-2837 | |
| (650) 618-0485 |
| Full Name | California Neurological Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 227 W Janss Rd Ste 135, Thousand Oaks, California |
| Authorized Official Name and Position | Dolly Banerjee Roy (CEO) |
| Authorized Official Contact | 4153772837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Neurological Center, Inc. 1922 Golden Sky Cir Westlake Village CA 91362-5292 Ph: (415) 377-2837 | California Neurological Center, Inc. 227 W Janss Rd Ste 135 Thousand Oaks CA 91360-1857 Ph: (415) 377-2837 |
| NPI Number | 1821239252 |
|---|---|
| Provider Enumeration Date | 03/16/2009 |
| Last Update Date | 03/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821239252 | NPI | - | NPPES |
| W1926200 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A86956 (California) | Primary |
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