Cep America - Neurology Pc | |
15630 18th Ave Clearlake CA 95422-9336 | |
(707) 994-6486 | |
Not Available |
Full Name | Cep America - Neurology Pc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 15630 18th Ave, Clearlake, California |
Authorized Official Name and Position | David Birdsall (VP & SECRETARY) |
Authorized Official Contact | 5103502600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cep America - Neurology Pc 2100 Powell St Ste 400 Emeryville CA 94608-1872 Ph: (510) 851-7501 | Cep America - Neurology Pc 15630 18th Ave Clearlake CA 95422-9336 Ph: (707) 994-6486 |
NPI Number | 1801598826 |
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Provider Enumeration Date | 03/21/2023 |
Last Update Date | 03/21/2023 |
Certification Date | 03/21/2023 |
Identifier | Type | State | Issuer |
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1801598826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |