| West Coast Neurology, Inc | |
|
630 S Raymond Ave Suite 310 Pasadena CA 91105-3278 | |
| (626) 598-3770 | |
| (626) 598-3797 |
| Full Name | West Coast Neurology, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 630 S Raymond Ave, Pasadena, California |
| Authorized Official Name and Position | Edward Barton (CEO) |
| Authorized Official Contact | 6265983770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Neurology, Inc 630 S Raymond Ave Suite 310 Pasadena CA 91105-3278 Ph: (626) 598-3770 | West Coast Neurology, Inc 630 S Raymond Ave Suite 310 Pasadena CA 91105-3278 Ph: (626) 598-3770 |
| NPI Number | 1467897322 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Medicare PECOS PAC ID | 6204067010 |
|---|---|
| Medicare Enrollment ID | O20140320000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467897322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A101958 (California) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | A101958 (California) | Secondary |
| Provider Name | Richard S Gluckman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336288943 PECOS PAC ID: 3274573613 Enrollment ID: I20050505000367 |
| Provider Name | Edward G. Barton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285862375 PECOS PAC ID: 3971799909 Enrollment ID: I20101202000034 |
| Provider Name | George Nune |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699099358 PECOS PAC ID: 1052536869 Enrollment ID: I20140711001302 |
| Provider Name | Lynsey L Lakin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861890030 PECOS PAC ID: 7719270735 Enrollment ID: I20160727002187 |
| Provider Name | Arnold A Brizuela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528325818 PECOS PAC ID: 1557677473 Enrollment ID: I20170815001276 |
| Provider Name | Christopher K. Cheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700175312 PECOS PAC ID: 8426320755 Enrollment ID: I20170822002565 |
| Provider Name | Norianne Martinez Pimentel-piatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841646981 PECOS PAC ID: 6901149061 Enrollment ID: I20200331002177 |
| Provider Name | Lise Phan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487031100 PECOS PAC ID: 7911240015 Enrollment ID: I20200406000897 |
| Provider Name | David A Valentine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093192486 PECOS PAC ID: 9335474683 Enrollment ID: I20201002002573 |
| Provider Name | Ken Masui Fujimura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629426630 PECOS PAC ID: 6608299227 Enrollment ID: I20210521000904 |
| Provider Name | Sahar Sheikhbahaei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023464153 PECOS PAC ID: 2264760834 Enrollment ID: I20211104001970 |
| Provider Name | Bo Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20220422000934 |
| Provider Name | Janice Joo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639532187 PECOS PAC ID: 9537452685 Enrollment ID: I20220525002239 |
| Provider Name | Brian Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053706267 PECOS PAC ID: 2567833767 Enrollment ID: I20230126001654 |
| Provider Name | Tahaamin Shokuhfar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477113728 PECOS PAC ID: 9830424621 Enrollment ID: I20240518000644 |
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