| Neurology And Cognitive Neuroscience Institute, Inc. | |
|
2080 Century Park E Ste 1403 Los Angeles CA 90067-2017 | |
| (949) 239-4410 | |
| (310) 526-8770 |
| Full Name | Neurology And Cognitive Neuroscience Institute, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2080 Century Park E Ste 1403, Los Angeles, California |
| Authorized Official Name and Position | Farzin Benjamin Pedouim (PRESIDENT) |
| Authorized Official Contact | 3105625589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology And Cognitive Neuroscience Institute, Inc. 2080 Century Park E Ste 1403 Los Angeles CA 90067-2017 Ph: (844) 638-7637 | Neurology And Cognitive Neuroscience Institute, Inc. 2080 Century Park E Ste 1403 Los Angeles CA 90067-2017 Ph: (949) 239-4410 |
| NPI Number | 1801449392 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/14/2022 |
| Medicare PECOS PAC ID | 8628406626 |
|---|---|
| Medicare Enrollment ID | O20200324003195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801449392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Farzin B Pedouim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649567165 PECOS PAC ID: 1254655848 Enrollment ID: I20150202000011 |
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