| Elite Neurology Of Orange County | |
|
2617 E Chapman Ave Ste 101 Orange CA 92869-3251 | |
| (714) 202-0218 | |
| Not Available |
| Full Name | Elite Neurology Of Orange County |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2617 E Chapman Ave Ste 101, Orange, California |
| Authorized Official Name and Position | Jeanette S Johnson (OFFICE MANAGER) |
| Authorized Official Contact | 7142020218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Neurology Of Orange County 2617 E Chapman Ave Ste 101 Orange CA 92869-3251 Ph: (714) 202-0218 | Elite Neurology Of Orange County 2617 E Chapman Ave Ste 101 Orange CA 92869-3251 Ph: (714) 202-0218 |
| NPI Number | 1083019830 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Medicare PECOS PAC ID | 5698091338 |
|---|---|
| Medicare Enrollment ID | O20150224001216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083019830 | NPI | - | NPPES |
| 1083019830 | Other | CA | GROUP NPI |
| 1841210846 | Other | CA | NPI |
| G81195 | Other | CA | MEDICAL BOARD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G81195 (California) | Primary |
| Provider Name | John W Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841210846 PECOS PAC ID: 5991966202 Enrollment ID: I20120413000198 |
| Provider Name | Manpreet Kaur Multani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679706295 PECOS PAC ID: 6305162801 Enrollment ID: I20150227000810 |
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