Organization · NPI-2
Abea Neurodiagnostics
Physiological Laboratory · Cypress, CA
NPI number1104264035
StatusActive
Last updated in NPPESJun 13, 2013
Details
- NPI
- 1104264035
- Entity type
- Organization (NPI-2)
- Legal business name
- Abea Neurodiagnostics
- Organization subpart
- No
- Enumeration date
- Jun 13, 2013
- Last updated
- Jun 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | 1461 | CA | Yes |
Practice location
5300 Orange AveSuite 202
Cypress, CA 90630-2959
Phone 909-394-6100 · Fax 909-394-6117
Mailing address
10460 Rose Ann CirCypress, CA 90630-4359
Phone 909-394-6100 · Fax 909-394-6117
Authorized official
Dormel M Abea
President Ceo
6264886495
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