Organization
GAMMA NEURO DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VITANTONIO (PRESIDENT)
(310) 923-1437
Entity
Organization
Contact information
Practice address
510 SUPERIOR AVE STE 200A, NEWPORT BEACH, CA 92663-3664
(949) 764-8430
(310) 691-1394
Mailing address
PO BOX 2277, VENICE, CA 90294-2277
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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