Pacific Neuro Diagnostic Medical Group, Inc. is a
Orthopaedic Surgery based in Palmdale, California. Pacific Neuro Diagnostic Medical Group, Inc. is licensed to practice in * (Not Available) (license number ) and their current practice location is
2361b E Palmdale Blvd, Palmdale, California. It can be reached at their office (for appointments etc.) via phone at
(661) 540-0824.
NPI number for Pacific Neuro Diagnostic Medical Group, Inc. is 1073712790 and their current mailing address is 6800 Lincoln Ave, Suite 200, Buena Park, California. Pacific Neuro Diagnostic Medical Group, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1073712790.
Healthcare Provider's Profile
| Full Name | Pacific Neuro Diagnostic Medical Group, Inc. |
|---|
| Type | Facility |
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| Speciality | Orthopaedic Surgery |
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| Location | 2361b E Palmdale Blvd, Palmdale, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073712790
- Provider Enumeration Date: 07/12/2007
- Last Update Date: 07/12/2007
Medical Identifiers
Medical identifiers for Pacific Neuro Diagnostic Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073712790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207T00000X | Neurological Surgery | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pacific Neuro Diagnostic Medical Group, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pacific Neuro Diagnostic Medical Group, Inc.
6800 Lincoln Ave, Suite 200,
Buena Park, CA 90620-4162
Ph: (714) 995-5400 | Pacific Neuro Diagnostic Medical Group, Inc.
2361b E Palmdale Blvd,
Palmdale, CA 93550-4910
Ph: (661) 540-0824 |
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