Organization
CARING NEUROLOGY SERVICES MEDICAL CLINIC
Active
Organization
CARING NEUROLOGY SERVICES MEDICAL CLINIC
Active
Other names
Caring Neurology Services
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L SHOEMAKER (OWNER)
(714) 432-1321
Entity
Organization
Contact information
Practice address
17150 EUCLID STREET, SUITE 320, FOUNTAIN VALLEY, CA 92708
(714) 432-1321
(714) 434-1890
Mailing address
17150 EUCLID STREET, SUITE 320, FOUNTAIN VALLEY, CA 92708
(714) 432-1321
(714) 434-1890
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G71964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G719640
BLUE SHIELD
CA
Enumeration date
07/26/2007
Last updated
08/01/2008
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