| Premiere Neuromonitoring Inc | |
|
2655 1st St Ste 250 Simi Valley CA 93065-1574 | |
| (800) 785-8953 | |
| (877) 705-3046 |
| Full Name | Premiere Neuromonitoring Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2655 1st St Ste 250, Simi Valley, California |
| Authorized Official Name and Position | Julio Cantero (CEO) |
| Authorized Official Contact | 8007858953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere Neuromonitoring Inc Po Box 941715 Simi Valley CA 93094-1715 Ph: (800) 785-8953 | Premiere Neuromonitoring Inc 2655 1st St Ste 250 Simi Valley CA 93065-1574 Ph: (800) 785-8953 |
| NPI Number | 1700241478 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 12/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700241478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 129953 (California) | Primary |
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