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Organization

NEUROPHYSIOLOGIC LABORATORY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL W SHEN MD (PARTNER)
(949) 837-1130
Entity
Organization

Contact information

Practice address
24012 CALLE DE LA PLATA STE 150, LAGUNA HILLS, CA 92653-3632
(949) 837-1130
(949) 587-1068
Mailing address
24012 CALLE DE LA PLATA STE 150, LAGUNA HILLS, CA 92653-3632
(949) 837-1130
(949) 587-1068

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
06/06/2023
Last updated
06/06/2023
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