# PRECISION NEURODIAGNOSTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376857789
- **Authorized official:** DR. JEFF ALTMAN MD (PRESIDENT)
- **Authorized official phone:** (949) 554-4989

## Contact information

- **Practice address:** 6 WHITESANDS DR, NEWPORT COAST, CA 92657-1059
- **Practice address phone:** (949) 554-4989
- **Mailing address:** 6 WHITESANDS DR, NEWPORT COAST, CA 92657-1059
- **Mailing address phone:** (949) 554-4989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A79570 | CA | Yes |

## Other

- **Enumeration date:** 07/28/2010
- **Last updated:** 07/28/2010
