Organization · NPI-2
West Wave Neurodiagnostics LLC
Technician/Technologist · Santa Maria, CA
NPI number1922698091
StatusActive
Last updated in NPPESMay 5, 2022
Details
- NPI
- 1922698091
- Entity type
- Organization (NPI-2)
- Legal business name
- West Wave Neurodiagnostics LLC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2021
- Certification date
- May 5, 2022
- Last updated
- May 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
937 E Main St Ste 107Santa Maria, CA 93454-5309
Phone 805-357-5272 · Fax 805-308-7107
Mailing address
937 E Main St Ste 107Santa Maria, CA 93454-5309
Phone 805-357-5272 · Fax 805-308-7107
Other practice locations
466 Cory Ct
Santa Maria, CA 93455-5525
Santa Maria, CA 93455-5525
Phone 805-540-1160
Authorized official
Jessica Jewel Morrow
Owner, Registered Eeg Technologist
8055401160
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