Organization · NPI-2
Harbor Neurological Group
Psychiatry & Neurology, Neurology · Westminster, CA
NPI number1588068191
StatusActive
Last updated in NPPESSep 8, 2015
Details
- NPI
- 1588068191
- Entity type
- Organization (NPI-2)
- Legal business name
- Harbor Neurological Group
- Organization subpart
- No
- Enumeration date
- Oct 13, 2014
- Last updated
- Sep 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | A86632 | CA | Yes |
| 207RI0200X | Internal Medicine, Infectious Disease | A64097 | CA | |
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | E4237 | CA |
Practice location
13701 Beach BlvdSuite A1
Westminster, CA 92683-3203
Phone 714-705-0737 · Fax 310-388-5802
Mailing address
21039 Figueroa StSuite 201
Carson, CA 90745-1972
Phone 714-705-0737 · Fax 310-618-6989
Authorized official
Khan Duong
Podiatrist
7147050737
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