Organization · Type 2 NPI

360 Mind

Neurological Surgery Physician · Santa Monica, CA

NPI number 1366753683 Active

Practice location

1328 22nd St
Santa Monica, CA 90404-2032

Call (310) 582-7450 Map

Fax (310) 582-7495

Mailing address

PO Box 7111
Santa Monica, CA 90406-7111

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XG77318 (CA)
Neurological Surgery Physician 207T00000XC53853 (CA)
Otolaryngology Physician 207Y00000XG88653 (CA)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1366753683

360 Mind's National Provider Identifier is 1366753683, issued on Jul 1, 2010. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 1, 2010.