Organization
CALIFORNIA INSTITUTE OF NEUROSCIENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA MURAVYEVA (ADMINISTRATIVE DIRECTOR)
(805) 795-7565
Entity
Organization
Contact information
Practice address
2100 LYNN RD STE 120, THOUSAND OAKS, CA 91360-8033
(805) 795-7656
Mailing address
3435 E THOUSAND OAKS BLVD UNIT 3789, WESTLAKE VILLAGE, CA 91359-7930
(805) 795-7656
(805) 618-1501
Taxonomy
Speciality
Code
Description
License number
State
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
—
2084V0102X
Vascular Neurology Physician
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
07/29/2019
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