| Tri Valley Neurology Medical Associates Inc. | |
|
14901 Rinaldi St Suite 325 Mission Hills CA 91345-1204 | |
| (818) 898-9898 | |
| (818) 898-9899 |
| Full Name | Tri Valley Neurology Medical Associates Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14901 Rinaldi St, Mission Hills, California |
| Authorized Official Name and Position | Kanwal K Nayyar (PRESIDENT) |
| Authorized Official Contact | 8188989898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri Valley Neurology Medical Associates Inc. 14901 Rinaldi St Suite 325 Mission Hills CA 91345-1204 Ph: (818) 898-9898 | Tri Valley Neurology Medical Associates Inc. 14901 Rinaldi St Suite 325 Mission Hills CA 91345-1204 Ph: (818) 898-9898 |
| NPI Number | 1013932730 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8921020249 |
|---|---|
| Medicare Enrollment ID | O20051229000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013932730 | NPI | - | NPPES |
| 00A562260 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A56226 (California) | Primary |
| Provider Name | Kanwal K Nayyar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043238371 PECOS PAC ID: 5092737312 Enrollment ID: I20120130000379 |
| Provider Name | Ankur Nayyar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912380783 PECOS PAC ID: 3072919984 Enrollment ID: I20230810001691 |
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