| Infoneuro Group, A Medical Corporation | |
|
415 N Crescent Dr Ste 220 Beverly Hills CA 90210-6810 | |
| (909) 567-0600 | |
| (909) 597-0655 |
| Full Name | Infoneuro Group, A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 415 N Crescent Dr Ste 220, Beverly Hills, California |
| Authorized Official Name and Position | Gil A Galliguez (BILLING MANAGER) |
| Authorized Official Contact | 9095970600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infoneuro Group, A Medical Corporation Po Box 12843 Marina Del Rey CA 90295-3843 Ph: (909) 597-0600 | Infoneuro Group, A Medical Corporation 415 N Crescent Dr Ste 220 Beverly Hills CA 90210-6810 Ph: (909) 567-0600 |
| NPI Number | 1407026354 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 01/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407026354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A72928 (California) | Primary |
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