Organization
VIGILANT NEUROMONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SISCO (CEO)
(714) 322-1344
Entity
Organization
Contact information
Practice address
20331 IRVINE AVE STE E2, NEWPORT BEACH, CA 92660-0223
(714) 322-1344
Mailing address
PO BOX 103907, PASADENA, CA 91189-0183
(714) 322-1344
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
11/08/2024
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