Neurogenx Nervecenter Newport Beach | |
18740 Ventura Blvd Ste 102, Tarzana, CA 91356 | |
(818) 836-2475 | |
(310) 943-1457 |
Full Name | Neurogenx Nervecenter Newport Beach |
---|---|
Type | Facility |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 18740 Ventura Blvd Ste 102, Tarzana, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841749041 | NPI | - | NPPES |
1346223997 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | E4159 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Neurogenx Nervecenter Newport Beach 18740 Ventura Blvd Ste 102, Tarzana, CA 91356-6353 Ph: (818) 836-2475 | Neurogenx Nervecenter Newport Beach 18740 Ventura Blvd Ste 102, Tarzana, CA 91356 Ph: (818) 836-2475 |
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