Los Angeles Neurosciences, Inc. | |
23861 Mcbean Pkwy Ste E12 Valencia CA 91355-2077 | |
(661) 857-7100 | |
(661) 481-0239 |
Full Name | Los Angeles Neurosciences, Inc. |
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Speciality | Psychiatry & Neurology |
Location | 23861 Mcbean Pkwy Ste E12, Valencia, California |
Authorized Official Name and Position | Crystal Garibay (OFFICE MANAGER) |
Authorized Official Contact | 6618577100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Los Angeles Neurosciences, Inc. 25614 Trent Way Stevenson Ranch CA 91381-1471 Ph: () - | Los Angeles Neurosciences, Inc. 23861 Mcbean Pkwy Ste E12 Valencia CA 91355-2077 Ph: (661) 857-7100 |
NPI Number | 1457855322 |
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Provider Enumeration Date | 03/23/2018 |
Last Update Date | 10/09/2024 |
Certification Date | 10/09/2024 |
Medicare PECOS PAC ID | 4587928445 |
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Medicare Enrollment ID | O20180501003049 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457855322 | NPI | - | NPPES |
00 | Other | CA | N/A |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | A130877 (California) | Primary |
Provider Name | Thomas Mani Kurian |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1356675573 PECOS PAC ID: 8426296195 Enrollment ID: I20141125000470 |
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