| Gamma Neuro Network Of Texas Pllc | |
|
475 Washington Blvd Marina Del Rey CA 90292-5287 | |
| (310) 923-1437 | |
| Not Available |
| Full Name | Gamma Neuro Network Of Texas Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 475 Washington Blvd, Marina Del Rey, California |
| Authorized Official Name and Position | Daniel Vitantonio (PRESIDENT) |
| Authorized Official Contact | 3109231437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gamma Neuro Network Of Texas Pllc Po Box 2277 Venice CA 90294-2277 Ph: (310) 923-1437 | Gamma Neuro Network Of Texas Pllc 475 Washington Blvd Marina Del Rey CA 90292-5287 Ph: (310) 923-1437 |
| NPI Number | 1003683848 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003683848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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