Neurovibe LLC
Health Maintenance Organization in Costa Mesa, CA. Organization (NPI-2).
NPI number1679214902
StatusActive
Last updated in NPPESApr 1, 2022
Details
- NPI
- 1679214902
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurovibe LLC
- Organization subpart
- No
- Enumeration date
- Apr 1, 2022
- Certification date
- Mar 31, 2022
- Last updated
- Apr 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
3151 Airway Ave Ste N2Costa Mesa, CA 92626-4626
Phone 949-689-6607
Mailing address
3151 Airway Ave Ste N2Costa Mesa, CA 92626-4626
Phone 949-689-6607
Authorized official
Joseph Kyong Choi
Mbr
9493787982
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