Organization
CNS NEUROMONITORING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTAL GARNER REEGT, RPSGT, R. EPT (CEO)
(888) 976-3347
Entity
Organization
Contact information
Practice address
2372 MORSE AVE, IRVINE, CA 92614-6234
(888) 967-3347
Mailing address
2372 MORSE AVE, IRVINE, CA 92614-6234
(888) 967-3347
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
CA
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
CA
293D00000X
Physiological Laboratory
—
CA
Other
Enumeration date
08/05/2015
Last updated
01/27/2017
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