Organization
GLIA NEUROLOGY
Active
Organization
GLIA NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANKO N. HUISA-GARATE MD (PRESIDENT)
(858) 997-8529
Entity
Organization
Contact information
Practice address
44045 MARGARITA RD STE 106, TEMECULA, CA 92592-2729
(858) 997-8529
(858) 534-7046
Mailing address
44045 MARGARITA RD STE 106, TEMECULA, CA 92592-2729
(858) 997-8529
(858) 534-7046
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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