# SOUTH BAY NEUROLOGY MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTH BAY NEUROLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659992527
- **Authorized official:** NAZILA RAD MD (PRESIDENT)
- **Authorized official phone:** (310) 748-8363

## Contact information

- **Practice address:** 3655 LOMITA BLVD STE 302, TORRANCE, CA 90505-1919
- **Practice address phone:** (424) 383-1045
- **Mailing address:** 2325 PALOS VERDES DR W STE 220, PALOS VERDES ESTATES, CA 90274-2777
- **Mailing address phone:** (310) 748-8363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2020
- **Last updated:** 05/25/2020