| Surgical Neuromonitoring Service Inc | |
|
3005 Santa Margarita Ct Santa Rosa CA 95405-8205 | |
| (707) 573-2341 | |
| (707) 539-2939 |
| Full Name | Surgical Neuromonitoring Service Inc |
|---|---|
| Speciality | Psychologist - Health Service |
| Location | 3005 Santa Margarita Ct, Santa Rosa, California |
| Authorized Official Name and Position | Alex Amochaev (PRESIDENT) |
| Authorized Official Contact | 7075732341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgical Neuromonitoring Service Inc 3005 Santa Margarita Ct Santa Rosa CA 95405-8205 Ph: (707) 573-2341 | Surgical Neuromonitoring Service Inc 3005 Santa Margarita Ct Santa Rosa CA 95405-8205 Ph: (707) 573-2341 |
| NPI Number | 1063401461 |
|---|---|
| Provider Enumeration Date | 10/18/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063401461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | PSY12851 (California) | Primary |
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