Organization · Type 2 NPI
Pavilion Neurology Medical Group Inc.
Specialist · Orange, CA
NPI number
1972636009
Active
Practice location
1140 W La Veta Ave Ste 730
Orange, CA 92868-4229
Fax (714) 541-1591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6 other providers at this address
- Amir Shokrae, MDSpecialist Orange, CA NPI 1306934112
- Jacqueline Blanco SerratoPhysician Assistant Orange, CA NPI 1285467977
- Jennifer Sun, PA-CPhysician Assistant Orange, CA NPI 1316650310
- Karly Janell Borunda, FNPFamily Nurse Practitioner Orange, CA NPI 1174179725
- Richard Dauben, MDSpecialist Orange, CA NPI 1942398664
- Victor Truong, PAPhysician Assistant Orange, CA NPI 1407448277
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About NPI 1972636009
Pavilion Neurology Medical Group Inc.'s National Provider Identifier is 1972636009, issued on Mar 14, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Orange, CA. The record was last updated on Jul 21, 2022.