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Contact Information

IOM NEURO PRO READER
9300 SANTA ANITA AVE
SUITE 101
RANCHO CUCAMONGA, CA91730
 Phone: 909-373-4633
 Fax: 909-343-5228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for IOM NEURO PRO READER · (Female)

NPI Number 1225530637
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2018
Last updated 03/01/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G57315
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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