Neuro Consulting Inc | |
522 N Sweetzer Ave Apt 5 Los Angeles CA 90048-2659 | |
(307) 920-1688 | |
(818) 510-0979 |
Full Name | Neuro Consulting Inc |
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Speciality | Clinic/Center |
Location | 522 N Sweetzer Ave Apt 5, Los Angeles, California |
Authorized Official Name and Position | William Michael Hammesfahr (PRESIDENT) |
Authorized Official Contact | 3079201688 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuro Consulting Inc 14637 1/2 Titus St Unit C Panorama City CA 91402-4942 Ph: (307) 920-1688 | Neuro Consulting Inc 522 N Sweetzer Ave Apt 5 Los Angeles CA 90048-2659 Ph: (307) 920-1688 |
NPI Number | 1801430400 |
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Provider Enumeration Date | 11/06/2019 |
Last Update Date | 10/15/2021 |
Medicare PECOS PAC ID | 1456786094 |
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Medicare Enrollment ID | O20200108003005 |
Identifier | Type | State | Issuer |
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1801430400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Marie G Johnston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528505377 PECOS PAC ID: 0547539330 Enrollment ID: I20170711001542 |
Provider Name | William M Hammesfahr |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1962446500 PECOS PAC ID: 8820047400 Enrollment ID: I20200108003071 |
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