Organization
WEST COAST NEURO
Active
Organization
WEST COAST NEURO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN FLORES (CEO)
(310) 953-9759
Entity
Organization
Contact information
Practice address
3863 SHERWOOD PL, SHERMAN OAKS, CA 91423-4607
(310) 953-9759
(213) 785-8864
Mailing address
PO BOX 103631, PASADENA, CA 91189-6020
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/21/2016
Last updated
02/06/2024
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