| California Movement Disorders Center | |
|
825 Pollard Rd Ste 100 Los Gatos CA 95032-1435 | |
| (650) 484-0440 | |
| (650) 484-0668 |
| Full Name | California Movement Disorders Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 825 Pollard Rd Ste 100, Los Gatos, California |
| Authorized Official Name and Position | Kristin Andruska (PRESIDENT) |
| Authorized Official Contact | 6504840440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Movement Disorders Center Po Box 391344 Mountain View CA 94039-1344 Ph: (650) 484-0440 | California Movement Disorders Center 825 Pollard Rd Ste 100 Los Gatos CA 95032-1435 Ph: (650) 484-0440 |
| NPI Number | 1740868926 |
|---|---|
| Provider Enumeration Date | 03/30/2021 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/19/2021 |
| Medicare PECOS PAC ID | 9436567716 |
|---|---|
| Medicare Enrollment ID | O20210427000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740868926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kristin M Andruska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619263431 PECOS PAC ID: 3375772882 Enrollment ID: I20180116000905 |
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