| Neurophysiologic Laboratory | |
|
24012 Calle De La Plata Ste 150 Laguna Hills CA 92653-3632 | |
| (949) 837-1130 | |
| (949) 587-1068 |
| Full Name | Neurophysiologic Laboratory |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 24012 Calle De La Plata Ste 150, Laguna Hills, California |
| Authorized Official Name and Position | Michael W Shen (PARTNER) |
| Authorized Official Contact | 9498371130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurophysiologic Laboratory 24012 Calle De La Plata Ste 150 Laguna Hills CA 92653-3632 Ph: (949) 837-1130 | Neurophysiologic Laboratory 24012 Calle De La Plata Ste 150 Laguna Hills CA 92653-3632 Ph: (949) 837-1130 |
| NPI Number | 1114611712 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114611712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (NU) | Primary |
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