Organization
QUALITY NEURO SUPPLY LLC
Active
Other names
QUALITY NEUROMONITORING
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO CANTERO M.D. (MANAGING PARTNER)
(818) 600-1572
Entity
Organization
Contact information
Practice address
2201 W BROADWAY, SUITE B201, ANAHEIM, CA 92804-2374
(818) 600-1572
(877) 625-7254
Mailing address
PO BOX 2864, ANAHEIM, CA 92814-0864
(818) 600-1572
(877) 625-7254
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
ME94218
FL
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
2124
TX
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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