National Provider Identifier Database

SAN DIEGO NEUROLOGICAL DISORDERS
Neurological Surgery

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.


Contact Information

SAN DIEGO NEUROLOGICAL DISORDERS
5565 GROSSMONT CENTER DRIVE #1-119
LA MESA, CA91942
Phone: 619-464-3153
Fax: 619-464-3429
Website:
Specialty Taxonomy Code
* Neurological Surgery 207T00000X

* Indicates primary specialty

NPI Profile & details for SAN DIEGO NEUROLOGICAL DISORDERS

NPI Number 1962574715
Legal business name
LBN
SAN DIEGO NEUROLOGICAL DISORDERS
Authorized official TYRONE HARDY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/15/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: G57014
  • CA Medicaid: 00G570140
  • Other: ZZZ56955Z BLUE SHIELD

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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