| Carmel Valley Neurology Pc | |
|
12264 El Camino Real Ste 303 San Diego CA 92130 | |
| (866) 393-9869 | |
| (866) 393-9868 |
| Full Name | Carmel Valley Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 12264 El Camino Real Ste 303, San Diego, California |
| Authorized Official Name and Position | Edward A Goldberg (OWNER) |
| Authorized Official Contact | 8663939869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmel Valley Neurology Pc 3830 Valley Centre Dr Ste 705 Pmb 423 San Diego CA 92130-3343 Ph: (866) 393-9869 | Carmel Valley Neurology Pc 12264 El Camino Real Ste 303 San Diego CA 92130 Ph: (866) 393-9869 |
| NPI Number | 1194214882 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 07/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194214882 | NPI | - | NPPES |
| DY3247 | Other | CA | RR MEDICARE GROUP PTAN |
| CB298480 | Other | CA | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Secondary |
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