| Sierra Neuromonitoring Llc | |
|
830 Wadsworth Ave Pismo Beach CA 93449-2362 | |
| (804) 398-8505 | |
| Not Available |
| Full Name | Sierra Neuromonitoring Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 830 Wadsworth Ave, Pismo Beach, California |
| Authorized Official Name and Position | Peter Whaley (OWNER-MANAGER) |
| Authorized Official Contact | 8043988505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Neuromonitoring Llc 830 Wadsworth Ave Pismo Beach CA 93449-2362 Ph: (804) 398-8505 | Sierra Neuromonitoring Llc 830 Wadsworth Ave Pismo Beach CA 93449-2362 Ph: (804) 398-8505 |
| NPI Number | 1548968134 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548968134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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