Organization
GREENLEAF NEURO TECHNOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA BAILEY (BILLING ADMINISTRATOR)
(914) 426-3760
Entity
Organization
Contact information
Practice address
1101 GROVE LN, NEWPORT BEACH, CA 92660-5644
(888) 851-3677
(888) 851-3671
Mailing address
1101 GROVE LN, NEWPORT BEACH, CA 92660-5644
(888) 851-3677
(888) 851-3671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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