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Organization
PAVILION NEUROLOGY MEDICAL GROUP INC.
Active
Organization
PAVILION NEUROLOGY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELSA CARMONA (MANAGER)
(714) 541-6800
Entity
Organization
Contact information
Practice address
1140 W LA VETA AVE STE 730, ORANGE, CA 92868-4229
(714) 541-6800
(714) 541-1591
Mailing address
1140 W LA VETA AVE STE 730, ORANGE, CA 92868-4229
(714) 541-6800
(714) 541-1591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
03/14/2007
Last updated
07/21/2022
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