Organization
AMS NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ERIC NIESEN M.D. (PRESIDENT)
(626) 599-7600
Entity
Organization
Contact information
Practice address
960 E GREEN ST, STE L11, PASADENA, CA 91106-2412
(626) 599-7600
(626) 599-7601
Mailing address
960 E GREEN ST, STE L11, PASADENA, CA 91106-2412
(626) 599-7600
(626) 599-7601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A54329
CA
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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