| Neurabello Llc | |
|
4510 Executive Dr Ste P5 San Diego CA 92121-3021 | |
| (404) 414-3700 | |
| Not Available |
| Full Name | Neurabello Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4510 Executive Dr Ste P5, San Diego, California |
| Authorized Official Name and Position | Robert Jordshaugen (CEO) |
| Authorized Official Contact | 4044143700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurabello Llc 4510 Executive Dr Ste P5 San Diego CA 92121-3021 Ph: () - | Neurabello Llc 4510 Executive Dr Ste P5 San Diego CA 92121-3021 Ph: (404) 414-3700 |
| NPI Number | 1427859214 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 04/28/2025 |
| Certification Date | 04/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427859214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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