| Nerve Pro Medical Corp | |
|
15825 Laguna Canyon Rd Ste 202 Irvine CA 92618-2127 | |
| (949) 753-1882 | |
| (949) 727-3365 |
| Full Name | Nerve Pro Medical Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15825 Laguna Canyon Rd, Irvine, California |
| Authorized Official Name and Position | Bruce Bradley Cleeremans (PRESIDENT) |
| Authorized Official Contact | 94978531882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nerve Pro Medical Corp 15825 Laguna Canyon Rd Ste 202 Irvine CA 92618-2127 Ph: (949) 753-1882 | Nerve Pro Medical Corp 15825 Laguna Canyon Rd Ste 202 Irvine CA 92618-2127 Ph: (949) 753-1882 |
| NPI Number | 1336156421 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6406943679 |
|---|---|
| Medicare Enrollment ID | O20071105000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336156421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G046938 (California) | Primary |
| Provider Name | Bruce B Cleeremans |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205042249 PECOS PAC ID: 2163316266 Enrollment ID: I20040210000816 |
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