| Orange County Neurological Medical Group Inc | |
|
1211 W La Palma Ave Ste 710 Anaheim CA 92801-2814 | |
| (714) 730-0311 | |
| (714) 922-8093 |
| Full Name | Orange County Neurological Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1211 W La Palma Ave Ste 710, Anaheim, California |
| Authorized Official Name and Position | David Holstein (OWNER) |
| Authorized Official Contact | 7147300311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange County Neurological Medical Group Inc Po Box 17957 Irvine CA 92623-7957 Ph: (714) 730-0311 | Orange County Neurological Medical Group Inc 1211 W La Palma Ave Ste 710 Anaheim CA 92801-2814 Ph: (714) 730-0311 |
| NPI Number | 1023110905 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 02/25/2019 |
| Medicare PECOS PAC ID | 6002801818 |
|---|---|
| Medicare Enrollment ID | O20050721000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023110905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | David D. Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669652533 PECOS PAC ID: 9537230685 Enrollment ID: I20110502000203 |
| Provider Name | David D Holstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518987585 PECOS PAC ID: 2860655206 Enrollment ID: I20120522000790 |
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