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Organization
NEUROLOGY DOCTORS OF CALIFORNIA, INC.
Active
Organization
NEUROLOGY DOCTORS OF CALIFORNIA, INC.
Active
Other names
southern california neurology specialists med.grp.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. MICHAEL MAHDAD M.D. (PRESIDENT)
(714) 546-5505
Entity
Organization
Contact information
Practice address
2621 S BRISTOL ST, # 105, SANTA ANA, CA 92704-5766
(714) 540-1840
(714) 540-2319
Mailing address
2621 S BRISTOL ST, # 105, SANTA ANA, CA 92704-5766
(714) 540-1840
(714) 540-2319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK6215
RAILROAD MEDICARE NUMBER
CA
01
—
GR0086520
MEDI-CAL
CA
01
—
ZZZ04904Z
BLUE SHIELD OF CA.
CA
Enumeration date
07/30/2006
Last updated
10/06/2008
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