Organization
PARKINSONS MOVEMENT & DISORDER MEDICAL GROUP INC
Active
Organization
PARKINSONS MOVEMENT & DISORDER MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASSIE M. SOMBAI (OFFICE ADMINISTRATOR)
(714) 378-5062
Entity
Organization
Contact information
Practice address
9940 TALBERT AVE STE 204, FOUNTAIN VALLEY, CA 92708-5153
(714) 378-5062
(714) 378-5061
Mailing address
9940 TALBERT AVE STE 204, FOUNTAIN VALLEY, CA 92708-5153
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091050
—
CA
Enumeration date
07/08/2006
Last updated
08/17/2015
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