| Santa Clarita Neurology Medical Group Inc | |
|
23823 Valencia Blvd Ste 115 Valencia CA 91355-9509 | |
| (661) 255-5444 | |
| (661) 255-8447 |
| Full Name | Santa Clarita Neurology Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23823 Valencia Blvd Ste 115, Valencia, California |
| Authorized Official Name and Position | Mark Clifford Schultz (PRESIDENT) |
| Authorized Official Contact | 6612555444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Clarita Neurology Medical Group Inc 23823 Valencia Blvd Ste 115 Valencia CA 91355-9509 Ph: (661) 255-5444 | Santa Clarita Neurology Medical Group Inc 23823 Valencia Blvd Ste 115 Valencia CA 91355-9509 Ph: (661) 255-5444 |
| NPI Number | 1831104629 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 05/04/2018 |
| Medicare PECOS PAC ID | 9537103650 |
|---|---|
| Medicare Enrollment ID | O20050620000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831104629 | NPI | - | NPPES |
| GR0056130 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G45233 (California) | Primary |
| Provider Name | Mark Clifford Schultz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568411189 PECOS PAC ID: 4981617263 Enrollment ID: I20110726000484 |
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