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Contact Information

NORTHRIDGE NEUROLOGICAL MEDICAL GROUP INC
18251 ROSCOE BLVD
SUITE 101
NORTHRIDGE, CA91325
 Phone: 818-312-2294
 Fax: 818-349-4724
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for NORTHRIDGE NEUROLOGICAL MEDICAL GROUP INC

NPI Number 1184702557
LBN Legal business name NORTHRIDGE NEUROLOGICAL MEDICAL GROUP INC
Authorized official WEI MI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 08/26/2022 - About 4 years ago
Identifiers
CA Medicaid ZZZ78006Z
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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