Organization
PRIME NEUROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY IDOKO M.D. (CEO)
(888) 618-5288
Entity
Organization
Contact information
Practice address
16350 VENTURA BLVD STE D323, ENCINO, CA 91436
(888) 618-5288
(888) 618-5288
Mailing address
16350 VENTURA BLVD STE D323, ENCINO, CA 91436-5300
(888) 618-5288
(888) 618-5288
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/27/2014
Last updated
07/01/2019
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