California Institute Of Neuroscience INC
Psychiatry & Neurology, Vascular Neurology in Thousand Oaks, CA. Organization (NPI-2).
NPI number1215593652
StatusActive
Last updated in NPPESJul 29, 2019
Details
- NPI
- 1215593652
- Entity type
- Organization (NPI-2)
- Legal business name
- California Institute Of Neuroscience INC
- Organization subpart
- No
- Enumeration date
- May 10, 2019
- Last updated
- Jul 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology, Vascular Neurology | – | – | Yes |
| 2084P0301X | Psychiatry & Neurology, Brain Injury Medicine | – | – |
Practice location
2100 Lynn Rd Ste 120Thousand Oaks, CA 91360-8033
Phone 805-795-7656
Mailing address
3435 E Thousand Oaks Blvd Unit 3789Westlake Village, CA 91359-7930
Phone 805-795-7656 · Fax 805-618-1501
Authorized official
Irina Muravyeva
Administrative Director
8057957565
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