Organization
CENTER OF EXCELLENCE IN PEDIATRIC NEUROLOGY MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHUTOSH RAINA MD (OWNER)
(916) 836-5800
Entity
Organization
Contact information
Practice address
5800 STANFORD RANCH RD, BUILDING 800, ROCKLIN, CA 95765-4387
(916) 836-8500
(916) 758-2924
Mailing address
5800 STANFORD RANCH RD, BUILDING 800, ROCKLIN, CA 95765-4387
(916) 836-8500
(916) 758-2924
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
12/16/2016
Last updated
12/19/2016
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