| Humboldt Neurological Medical Group Inc | |
|
2828 Oneil Lane Eureka CA 95503-4870 | |
| (707) 443-9385 | |
| (707) 443-0258 |
| Full Name | Humboldt Neurological Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2828 Oneil Lane, Eureka, California |
| Authorized Official Name and Position | Kurt Marvin Osborn (VICE PRESIDENT) |
| Authorized Official Contact | 7074439385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humboldt Neurological Medical Group Inc 2828 Oneil Lane Eureka CA 95503-4870 Ph: (707) 443-9385 | Humboldt Neurological Medical Group Inc 2828 Oneil Lane Eureka CA 95503-4870 Ph: (707) 443-9385 |
| NPI Number | 1750461570 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 02/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750461570 | NPI | - | NPPES |
| ZZZ76652Z | Medicaid | CA | |
| CP2087 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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