Organization
SIERRA NEUROMONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER WHALEY CNIM (OWNER-MANAGER)
(804) 398-8505
Entity
Organization
Contact information
Practice address
830 WADSWORTH AVE, PISMO BEACH, CA 93449-2362
(804) 398-8505
Mailing address
830 WADSWORTH AVE, PISMO BEACH, CA 93449-2362
(804) 398-8505
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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