Pacific Neurology Amc | |
3737 Moraga Ave Ste A5 San Diego CA 92117-5459 | |
(619) 443-0282 | |
(619) 443-5337 |
Full Name | Pacific Neurology Amc |
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Speciality | Psychiatry & Neurology |
Location | 3737 Moraga Ave Ste A5, San Diego, California |
Authorized Official Name and Position | Bruce Robert Lasker (PRESIDENT) |
Authorized Official Contact | 6194430282 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pacific Neurology Amc 3737 Moraga Ave Ste A5 San Diego CA 92117-5459 Ph: (619) 443-0282 | Pacific Neurology Amc 3737 Moraga Ave Ste A5 San Diego CA 92117-5459 Ph: (619) 443-0282 |
NPI Number | 1730392788 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 11/01/2011 |
Medicare PECOS PAC ID | 5496711590 |
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Medicare Enrollment ID | O20041209000319 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730392788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | G547910 (California) | Primary |
Provider Name | Bruce R Lasker |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1043299399 PECOS PAC ID: 1658337753 Enrollment ID: I20041210000838 |
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