| Pacific Neuro Diagnostic Medical Group, Inc. | |
|
165 W Hospitality Ln Suite 28 San Bernardino CA 92408-3334 | |
| (909) 890-0046 | |
| Not Available |
| Full Name | Pacific Neuro Diagnostic Medical Group, Inc. |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 165 W Hospitality Ln, San Bernardino, California |
| Authorized Official Name and Position | Sim C. Hoffman (PRESIDENT) |
| Authorized Official Contact | 7149955400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Neuro Diagnostic Medical Group, Inc. 6800 Lincoln Ave Suite 200 Buena Park CA 90620-4162 Ph: (714) 995-5400 | Pacific Neuro Diagnostic Medical Group, Inc. 165 W Hospitality Ln Suite 28 San Bernardino CA 92408-3334 Ph: (909) 890-0046 |
| NPI Number | 1497955280 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 10/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497955280 | NPI | - | NPPES |
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