Pacific Health Neuromonitoring LLC
Specialist/Technologist, Other, Electroneurodiagnostic in Hermosa Beach, CA. Organization (NPI-2).
NPI number1265026371
StatusActive
Last updated in NPPESMar 1, 2021
Details
- NPI
- 1265026371
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Health Neuromonitoring LLC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2021
- Certification date
- Mar 1, 2021
- Last updated
- Mar 1, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | Yes |
Practice location
1223 20th PlHermosa Beach, CA 90254-3313
Phone 281-346-3480 · Fax 281-462-4106
Mailing address
2907 Shelter Island Dr Ste 105-612San Diego, CA 92106-2743
Phone 281-346-3480 · Fax 281-462-4106
Authorized official
Elizabeth Martinez
Account Manager
2813463480
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