# SOUTHERN CALIFORNIA NEURO MEDICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Robert J. Giombetti M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447833405
- **Authorized official:** DR. ROBERT J GIOMBETTI MD (CEO)
- **Authorized official phone:** (310) 306-8876

## Contact information

- **Practice address:** 4560 ADMIRALTY WAY STE 352, MARINA DEL REY, CA 90292-5448
- **Practice address phone:** (310) 306-8876
- **Practice address fax:** (310) 822-3313
- **Mailing address:** 4560 ADMIRALTY WAY STE 352, MARINA DEL REY, CA 90292-5448
- **Mailing address phone:** (310) 306-8876
- **Mailing address fax:** (310) 822-3313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2021
- **Last updated:** 09/14/2021