Organization
CEP AMERICA - NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE G. KOURY (CEO)
(510) 350-2600
Entity
Organization
Contact information
Practice address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 331-7331
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
01/02/2020
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