| Advanced Neuro Management Services, Inc. | |
|
2655 1st St Suite 250 Simi Valley CA 93065-1547 | |
| (310) 908-5850 | |
| (303) 922-4640 |
| Full Name | Advanced Neuro Management Services, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2655 1st St, Simi Valley, California |
| Authorized Official Name and Position | Julio Cantero (OWNER) |
| Authorized Official Contact | 3109085850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neuro Management Services, Inc. Po Box 941715 Simi Valley CA 93094-1715 Ph: (310) 908-5850 | Advanced Neuro Management Services, Inc. 2655 1st St Suite 250 Simi Valley CA 93065-1547 Ph: (310) 908-5850 |
| NPI Number | 1104204783 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104204783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 129953 (California) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 129953 (California) | Secondary |
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