Organization
ENCEPHALOGIC MEDICAL GROUP, INC.
Active
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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