| California Neuromedical Services | |
|
301 N Prairie Ave Ste.315 Inglewood CA 90301-4507 | |
| (310) 680-0304 | |
| (310) 680-0305 |
| Full Name | California Neuromedical Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 301 N Prairie Ave, Inglewood, California |
| Authorized Official Name and Position | Rosabel R Young (PRESIDENT/OWNER) |
| Authorized Official Contact | 3104282244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Neuromedical Services 511 Brookside Ave Ste. 102 Redlands CA 92373-4611 Ph: (909) 557-8727 | California Neuromedical Services 301 N Prairie Ave Ste.315 Inglewood CA 90301-4507 Ph: (310) 680-0304 |
| NPI Number | 1043456742 |
|---|---|
| Provider Enumeration Date | 12/30/2008 |
| Last Update Date | 03/22/2011 |
| Medicare PECOS PAC ID | 2062575533 |
|---|---|
| Medicare Enrollment ID | O20090109000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043456742 | NPI | - | NPPES |
| 180519600 | Other | CA | OWCP |
| 000G641570 | Other | CA | BLUE SHIELD |
| 00G641570 | Medicaid | CA | |
| RR1022 | Other | CA | RAILROAD MEDICARE |
| P00011946 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | G64157 (California) | Primary |
| Provider Name | Rosabel R Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659487817 PECOS PAC ID: 0941194484 Enrollment ID: I20040213000436 |
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