| Pacific Neuroscience Medical Group, Inc. | |
|
1701 Solar Dr Suite 140 Oxnard CA 93030-0134 | |
| (805) 278-4148 | |
| (805) 278-4634 |
| Full Name | Pacific Neuroscience Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1701 Solar Dr, Oxnard, California |
| Authorized Official Name and Position | James P. Sutton (PRESIDENT - MEDICAL DIRECTOR) |
| Authorized Official Contact | 8052784148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Neuroscience Medical Group, Inc. 1701 Solar Dr Suite 140 Oxnard CA 93030-0134 Ph: (805) 278-4148 | Pacific Neuroscience Medical Group, Inc. 1701 Solar Dr Suite 140 Oxnard CA 93030-0134 Ph: (805) 278-4148 |
| NPI Number | 1144340662 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144340662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (California) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (California) | Primary |
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