| Quantum Neuromonitoring Corporation | |
|
11121 Sun Center Dr Suite G Rancho Cordova CA 95670-6161 | |
| (916) 631-0112 | |
| (916) 631-1652 |
| Full Name | Quantum Neuromonitoring Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11121 Sun Center Dr, Rancho Cordova, California |
| Authorized Official Name and Position | Dhiraj Raj Jeyanandarajan (PRESIDENT) |
| Authorized Official Contact | 9166310112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quantum Neuromonitoring Corporation 11121 Sun Center Dr Suite G Rancho Cordova CA 95670-6161 Ph: (916) 631-0112 | Quantum Neuromonitoring Corporation 11121 Sun Center Dr Suite G Rancho Cordova CA 95670-6161 Ph: (916) 631-0112 |
| NPI Number | 1790083723 |
|---|---|
| Provider Enumeration Date | 02/28/2011 |
| Last Update Date | 02/28/2011 |
| Medicare PECOS PAC ID | 0042493066 |
|---|---|
| Medicare Enrollment ID | O20110328000835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790083723 | NPI | - | NPPES |
| 1154547719 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A91259 (California) | Primary |
| Provider Name | Dhiraj Raj Jeyanandarajan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154547719 PECOS PAC ID: 4486716388 Enrollment ID: I20110328000870 |
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