Organization
NO CAL NEUROSURGERY MEDICAL GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI C LAPERLE (OFFICE MANAGER)
(510) 494-5700
Entity
Organization
Contact information
Practice address
2400 COUNTRY DRIVE, SUITE 100, FREMONT, CA 94536-5330
(510) 494-5700
(510) 494-5710
Mailing address
2400 COUNTRY DRIVE, SUITE 100, FREMONT, CA 94536-5330
(510) 494-5700
(510) 494-5710
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G52334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G52334
CALIFORNIA
CA
Enumeration date
10/12/2006
Last updated
08/22/2020
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