Organization · NPI-2

Adult Neurology Specialists INC

Psychiatry & Neurology, Neurology · Roseville, CA

NPI number1336749100
StatusActive
Last updated in NPPESOct 29, 2020

Details

NPI
1336749100
Entity type
Organization (NPI-2)
Legal business name
Adult Neurology Specialists INC
Organization subpart
No
Enumeration date
Oct 29, 2020
Certification date
Oct 29, 2020
Last updated
Oct 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes

Practice location

729 Sunrise Ave Ste 616
Roseville, CA 95661-4548

Phone 954-732-1211

Mailing address

729 Sunrise Ave Ste 616
Roseville, CA 95661-4548

Phone 954-732-1211

Authorized official

Kauroon Mazdak Darya
Ceo
4086799807

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