Organization
CALIFORNIA NEUROLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL F VASQUEZ (PRESIDENT)
(818) 894-3111
Entity
Organization
Contact information
Practice address
8780 VAN NUYS BLVD, STE B, PANORAMA CITY, CA 91402-2412
(818) 894-3111
(818) 894-3133
Mailing address
1158 26TH ST, STE 504, SANTA MONICA, CA 90403-4698
(818) 894-3111
(818) 894-3133
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA21993
STATE OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS
CA
Enumeration date
08/14/2012
Last updated
05/19/2014
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