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Cep America - Neurology PC

Psychiatry & Neurology, Neurology in San Bernardino, CA. Organization (NPI-2).

NPI number1356973747
StatusActive
Last updated in NPPESApr 1, 2020

Details

NPI
1356973747
Entity type
Organization (NPI-2)
Legal business name
Cep America - Neurology PC
Organization subpart
No
Enumeration date
Feb 4, 2020
Certification date
Apr 1, 2020
Last updated
Apr 1, 2020

Taxonomy and licenses

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

Practice location

1805 Medical Center Dr
San Bernardino, CA 92411-1217

Phone 510-410-9049

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411

Phone 510-350-2680

Authorized official

David Birdsall
Vice President
5103502600

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