Organization · Type 2 NPI

Quality Neuro Supply LLC

Clinical Neurophysiology Physician · Anaheim, CA

NPI number 1144564477 Active

Practice location

2201 W Broadway, Suite B201
Anaheim, CA 92804-2374

Fax (877) 625-7254

Mailing address

PO Box 2864
Anaheim, CA 92814-0864

Specialties and licenses

TaxonomyCodeLicense
Clinical Neurophysiology Physician Primary 2084N0600XME94218 (FL)
Electroneurodiagnostic Specialist/Technologist 246ZE0600X2124 (TX)

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

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About NPI 1144564477

Quality Neuro Supply LLC's National Provider Identifier is 1144564477, issued on Nov 27, 2012. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Anaheim, CA. The record was last updated on Nov 27, 2012.