Organization
AXON NEURODIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA BAILEY (BILLING DIRECTROR)
(888) 851-3677
Entity
Organization
Contact information
Practice address
333 TONOPAH AVE, LA PUENTE, CA 91744-3532
(888) 851-3577
(888) 851-3671
Mailing address
333 TONOPAH AVE, LA PUENTE, CA 91744-3532
(888) 851-3577
(888) 851-3671
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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