| Valencia Neurology Medical Group Inc | |
|
23928 Lyons Ave #102 Newhall CA 91321 | |
| (661) 222-2326 | |
| (661) 222-9444 |
| Full Name | Valencia Neurology Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23928 Lyons Ave, Newhall, California |
| Authorized Official Name and Position | Surishain Dhillon (MD) |
| Authorized Official Contact | 6612222326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valencia Neurology Medical Group Inc 23928 Lyons Ave #102 Newhall CA 91321 Ph: (661) 222-2326 | Valencia Neurology Medical Group Inc 23928 Lyons Ave #102 Newhall CA 91321 Ph: (661) 222-2326 |
| NPI Number | 1952477275 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/15/2012 |
| Medicare PECOS PAC ID | 9032370770 |
|---|---|
| Medicare Enrollment ID | O20120405000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952477275 | NPI | - | NPPES |
| 6507231 | Other | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Surisham Dhillon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770652299 PECOS PAC ID: 6608772819 Enrollment ID: I20031209000717 |
| Provider Name | Thomas Mani Kurian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356675573 PECOS PAC ID: 8426296195 Enrollment ID: I20141125000470 |
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