Norcal Neurostimulation | |
950 Glenn Dr Ste 235 Folsom CA 95630 | |
(916) 209-0533 | |
Not Available |
Full Name | Norcal Neurostimulation |
---|---|
Speciality | Psychiatry & Neurology |
Location | 950 Glenn Dr Ste 235, Folsom, California |
Authorized Official Name and Position | Ksenia Voronina (CO-OWNER) |
Authorized Official Contact | 9162090533 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Norcal Neurostimulation 950 Glenn Dr Ste 235 Folsom CA 95630-3193 Ph: (916) 209-0533 | Norcal Neurostimulation 950 Glenn Dr Ste 235 Folsom CA 95630 Ph: (916) 209-0533 |
NPI Number | 1831888148 |
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Provider Enumeration Date | 05/02/2023 |
Last Update Date | 10/02/2024 |
Certification Date | 10/02/2024 |
Medicare PECOS PAC ID | 9537520762 |
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Medicare Enrollment ID | O20230803001529 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831888148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Ksenia Voronina |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447694542 PECOS PAC ID: 5092060251 Enrollment ID: I20180612003295 |
Provider Name | Lauren Hoffman Marasa |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003175415 PECOS PAC ID: 1052692084 Enrollment ID: I20190829002725 |
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