Organization
NEUROLOGICINC
Active
Other names
Concussionsrus
Organization subpart
No
Provider details
NPI number
Authorized official
ASA MARIA ALBECZ REEGT RPSGT (CEO)
(818) 442-8350
Entity
Organization
Contact information
Practice address
630 S RAYMOND AVE, PASADENA, CA 91105-3278
(818) 442-8350
Mailing address
15021 VENTURA BLVD, #393, SHERMAN OAKS, CA 91403-2442
(818) 442-8350
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
4713
CA
Other
Enumeration date
08/26/2016
Last updated
08/25/2017
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