Organization
CEP AMERICA - NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (VICE PRESIDENT)
(510) 350-2600
Entity
Organization
Contact information
Practice address
1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-1217
(510) 410-9049
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2680
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
04/01/2020
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