Organization
ENCEPHALOGIC MEDICAL GROUP, INC.
Active
Other names
Pacific Neuroscience Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P. SUTTON M.D. (PRESIDENT - MEDICAL DIRECTOR)
(805) 278-4148
Entity
Organization
Contact information
Practice address
1701 SOLAR DR, SUITE 140, OXNARD, CA 93030-0134
(805) 278-4148
(805) 278-4634
Mailing address
1701 SOLAR DR, SUITE 140, OXNARD, CA 93030-0134
(805) 278-4148
(805) 278-4634
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
CA
2084N0400X
Neurology Physician
Primary
—
CA
Other
Enumeration date
03/29/2007
Last updated
08/01/2013
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