| Pacific Center For Neurological Disease Inc | |
|
15644 Pomerado Rd 401 Poway CA 92064 | |
| (858) 485-5301 | |
| (760) 745-4633 |
| Full Name | Pacific Center For Neurological Disease Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15644 Pomerado Rd 401, Poway, California |
| Authorized Official Name and Position | Gilbert Jyy Ho (CEO/DIRECTOR) |
| Authorized Official Contact | 8586741289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Center For Neurological Disease Inc 15708 Pomerado Rd Ste 103 Poway CA 92064-2035 Ph: (858) 674-1289 | Pacific Center For Neurological Disease Inc 15644 Pomerado Rd 401 Poway CA 92064 Ph: (858) 485-5301 |
| NPI Number | 1336281625 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Medicare PECOS PAC ID | 9335173343 |
|---|---|
| Medicare Enrollment ID | O20050920000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336281625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Gilbert J Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851320600 PECOS PAC ID: 2062446073 Enrollment ID: I20050920000515 |
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