| Neuroelite Services Llc | |
|
813 N Lenz Dr Anaheim CA 92805-1728 | |
| (562) 412-1454 | |
| Not Available |
| Full Name | Neuroelite Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 813 N Lenz Dr, Anaheim, California |
| Authorized Official Name and Position | Marion Echenique (OWNER) |
| Authorized Official Contact | 5624121454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroelite Services Llc 813 N Lenz Dr Anaheim CA 92805-1728 Ph: (562) 412-1454 | Neuroelite Services Llc 813 N Lenz Dr Anaheim CA 92805-1728 Ph: (562) 412-1454 |
| NPI Number | 1336924133 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336924133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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