| Cep America - Neurology Pc | |
|
15630 18th Ave Clearlake CA 95422-9336 | |
| (707) 994-6486 | |
| Not Available |
| Full Name | Cep America - Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 15630 18th Ave, Clearlake, California |
| Authorized Official Name and Position | David Birdsall (VP & SECRETARY) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Neurology Pc 2100 Powell St Ste 400 Emeryville CA 94608-1872 Ph: (510) 851-7501 | Cep America - Neurology Pc 15630 18th Ave Clearlake CA 95422-9336 Ph: (707) 994-6486 |
| NPI Number | 1801598826 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801598826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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