Organization
JEY NEURO CENTER, INC
Active
Organization
JEY NEURO CENTER, INC
Active
Other names
Valley Neurology Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATESH JANAKIRAMAN MD (CEO)
(661) 497-7999
Entity
Organization
Contact information
Practice address
3400 CALLOWAY DR STE 100, BAKERSFIELD, CA 93312-2513
(661) 776-3876
(661) 766-3876
Mailing address
6077 COFFEE RD #4, UNIT 310, BAKERSFIELD, CA 93308-9416
(661) 776-3876
(661) 766-3876
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659994739
NPI
—
01
—
CA446107
PTAN
—
Enumeration date
05/22/2020
Last updated
03/25/2021
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