Neurovascular And Spine Associates, A Medical Corporation
Specialist in Mission Viejo, CA. Organization (NPI-2).
NPI number1033474366
StatusActive
Last updated in NPPESOct 25, 2021
Details
- NPI
- 1033474366
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurovascular And Spine Associates, A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Jul 12, 2012
- Certification date
- Oct 12, 2021
- Last updated
- Oct 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
27799 Medical Center Rd Ste 200Mission Viejo, CA 92691-6400
Phone 951-365-1841 · Fax 949-482-2644
Mailing address
1038 E Bastanchury RdSuite 293
Fullerton, CA 92835-2786
Phone 951-365-1841 · Fax 949-482-2644
Authorized official
Hamed Faird
President
9513651841
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