| Neurology Medical Center | |
|
26932 Oso Pkwy Suite 240 Mission Viejo CA 92691-5815 | |
| (949) 348-8880 | |
| Not Available |
| Full Name | Neurology Medical Center |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 26932 Oso Pkwy, Mission Viejo, California |
| Authorized Official Name and Position | Mike Kreidie (OWNER) |
| Authorized Official Contact | 9493488880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Medical Center 26932 Oso Pkwy Suite 240 Mission Viejo CA 92691-5815 Ph: (949) 348-8880 | Neurology Medical Center 26932 Oso Pkwy Suite 240 Mission Viejo CA 92691-5815 Ph: (949) 348-8880 |
| NPI Number | 1629291554 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629291554 | NPI | - | NPPES |
| 00A295280 | Medicaid | CA | |
| ZZZ62117Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A29528 (California) | Primary |
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