Organization
PACIFIC NEUROLOGY AMC
Active
Organization
PACIFIC NEUROLOGY AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ROBERT LASKER MD (PRESIDENT)
(619) 443-0282
Entity
Organization
Contact information
Practice address
3737 MORAGA AVE STE A5, SAN DIEGO, CA 92117-5459
(619) 443-0282
(619) 443-5337
Mailing address
3737 MORAGA AVE STE A5, SAN DIEGO, CA 92117-5459
(619) 443-0282
(619) 443-5337
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G547910
CA
Other
Enumeration date
05/07/2007
Last updated
11/01/2011
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