| Center Of Excellence In Pediatric Neurology Medical Inc | |
|
5800 Stanford Ranch Rd Building 800 Rocklin CA 95765-4387 | |
| (916) 836-8500 | |
| (916) 758-2924 |
| Full Name | Center Of Excellence In Pediatric Neurology Medical Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 5800 Stanford Ranch Rd, Rocklin, California |
| Authorized Official Name and Position | Ashutosh Raina (OWNER) |
| Authorized Official Contact | 9168365800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Excellence In Pediatric Neurology Medical Inc 5800 Stanford Ranch Rd Building 800 Rocklin CA 95765-4387 Ph: (916) 836-8500 | Center Of Excellence In Pediatric Neurology Medical Inc 5800 Stanford Ranch Rd Building 800 Rocklin CA 95765-4387 Ph: (916) 836-8500 |
| NPI Number | 1033653571 |
|---|---|
| Provider Enumeration Date | 12/16/2016 |
| Last Update Date | 12/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033653571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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