Neurointerventional Surgery Consultants, PC
Radiology, Vascular & Interventional Radiology in Brea, CA. Organization (NPI-2).
NPI number1124497342
StatusActive
Last updated in NPPESSep 17, 2015
Details
- NPI
- 1124497342
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurointerventional Surgery Consultants, PC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2015
- Last updated
- Sep 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | – | – | Yes |
Practice location
534 S Brea BlvdBrea, CA 92821-5304
Phone 216-225-7893
Mailing address
534 S Brea BlvdBrea, CA 92821-5304
Authorized official
Amit Balgude
President And Ceo
2162257893
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