| Saint Mary Ped Neurog Med | |
|
6200 Wilshire Blvd Suite 1708 Los Angeles CA 90048-5818 | |
| (323) 939-0008 | |
| Not Available |
| Full Name | Saint Mary Ped Neurog Med |
|---|---|
| Speciality | Neurological Surgery |
| Location | 6200 Wilshire Blvd Suite 1708, Los Angeles, California |
| Authorized Official Name and Position | Raafat Iskander (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3239390008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Mary Ped Neurog Med 6200 Wilshire Blvd Suite 1708 Los Angeles CA 90048-5818 Ph: (323) 939-0008 | Saint Mary Ped Neurog Med 6200 Wilshire Blvd Suite 1708 Los Angeles CA 90048-5818 Ph: (323) 939-0008 |
| NPI Number | 1023281037 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023281037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A836040 (California) | Secondary |
| 207T00000X | Neurological Surgery | A836041 (California) | Primary |
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