Organization
SYNAPSE NEUROLOGY INC A PROFESSIONAL CORPORATION
Active
Other names
Synapse Neurology INC A Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KHERADYAR M.D. (PRESIDENT)
(310) 680-0560
Entity
Organization
Contact information
Practice address
323 N PRAIRIE AVE, SUITE 200, INGLEWOOD, CA 90301-4502
(310) 680-0560
(310) 680-0565
Mailing address
323 N PRAIRIE AVE, SUITE 200, INGLEWOOD, CA 90301-4502
(310) 680-0560
(310) 680-0565
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A74610
CA
Other
Enumeration date
09/08/2008
Last updated
03/05/2009
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