| San Diego Pediatric Neurology, Inc. | |
|
3003 Health Center Dr San Diego CA 92123-2700 | |
| (858) 939-4185 | |
| (858) 939-4972 |
| Full Name | San Diego Pediatric Neurology, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3003 Health Center Dr, San Diego, California |
| Authorized Official Name and Position | Michaela Cavanaugh (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8585985472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Pediatric Neurology, Inc. 8555 Aero Dr Ste 340 San Diego CA 92123-1740 Ph: (858) 384-7828 | San Diego Pediatric Neurology, Inc. 3003 Health Center Dr San Diego CA 92123-2700 Ph: (858) 939-4185 |
| NPI Number | 1306433032 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 12/30/2020 |
| Certification Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306433032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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