Organization
CALIFORNIA NEUROMEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSABEL R YOUNG M.D. (PRESIDENT/OWNER)
(310) 428-2244
Entity
Organization
Contact information
Practice address
301 N PRAIRIE AVE, STE.315, INGLEWOOD, CA 90301-4507
(310) 680-0304
(310) 680-0305
Mailing address
511 BROOKSIDE AVE, STE. 102, REDLANDS, CA 92373-4611
(909) 557-8727
(909) 335-8514
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
G64157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000G641570
BLUE SHIELD
CA
05
—
00G641570
—
CA
01
—
180519600
OWCP
CA
01
—
P00011946
RAILROAD MEDICARE
CA
01
—
RR1022
RAILROAD MEDICARE
CA
Enumeration date
12/30/2008
Last updated
03/22/2011
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