Organization
NEUROSURGICAL TRAUMA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARI LEE MCCARTHY CPC (BILLING MANAGER)
(661) 799-2542
Entity
Organization
Contact information
Practice address
25751 MCBEAN PKWY STE 305, VALENCIA, CA 91355-3701
(661) 799-2542
(661) 367-9198
Mailing address
PO BOX 802826, SANTA CLARITA, CA 91380-2826
(661) 799-2542
(661) 367-9198
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
01-OTHER (NON-MEDICARE)
—
Enumeration date
06/05/2017
Last updated
06/05/2017
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