| Parkinsons Movement & Disorder Medical Group Inc | |
|
9940 Talbert Ave Ste 204 Fountain Valley CA 92708-5153 | |
| (714) 378-5062 | |
| (714) 378-5061 |
| Full Name | Parkinsons Movement & Disorder Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 9940 Talbert Ave Ste 204, Fountain Valley, California |
| Authorized Official Name and Position | Jassie M. Sombai (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 7143785062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkinsons Movement & Disorder Medical Group Inc 9940 Talbert Ave Ste 204 Fountain Valley CA 92708-5153 Ph: () - | Parkinsons Movement & Disorder Medical Group Inc 9940 Talbert Ave Ste 204 Fountain Valley CA 92708-5153 Ph: (714) 378-5062 |
| NPI Number | 1881627313 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881627313 | NPI | - | NPPES |
| GR0091050 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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