| Caring Neurology Services | |
|
17150 Euclid Street Suite 320 Fountain Valley CA 92708 | |
| (714) 432-1321 | |
| (714) 434-1890 |
| Full Name | Caring Neurology Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17150 Euclid Street, Fountain Valley, California |
| Authorized Official Name and Position | Scott L Shoemaker (OWNER) |
| Authorized Official Contact | 7144321321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Neurology Services 17150 Euclid Street Suite 320 Fountain Valley CA 92708 Ph: (714) 432-1321 | Caring Neurology Services 17150 Euclid Street Suite 320 Fountain Valley CA 92708 Ph: (714) 432-1321 |
| NPI Number | 1649460569 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 08/01/2008 |
| Medicare PECOS PAC ID | 8224070750 |
|---|---|
| Medicare Enrollment ID | O20050525000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649460569 | NPI | - | NPPES |
| 00G719640 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | G71964 (California) | Primary |
| Provider Name | Scott L Shoemaker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881632784 PECOS PAC ID: 6608053434 Enrollment ID: I20110603000612 |
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