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Corrective Neurodiagnostic
General Practice Physician in Irvine, California
NPI 1619094695

Corrective Neurodiagnostic is a General Practice Physician based in Irvine, CA. Corrective Neurodiagnostic practices in Irvine, CA. The NPI Number for Corrective Neurodiagnostic is 1619094695 and holds a License No. G15995 (California).

The current practice location address for Corrective Neurodiagnostic is 43 Corporate Park Ste 204, Irvine, CA and can be reached out via phone at 714-550-0788 and via fax at 714-550-6001.

Location: 43 Corporate Park Ste 204, Irvine, CA, 92606-5137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619094695
Provider Name
Corrective Neurodiagnostic
Credential
Provider Entity Type
Organization
Address
43 Corporate Park Ste 204, Irvine, CA, 92606-5137
Phone Number
714-550-0788
Fax Number
714-550-6001
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
43 Corporate Park Ste 204
City
Irvine
State
California
Zip
92606-5137
Phone Number
714-550-0788
Fax Number
714-550-6001
person
Provider Business Mailing Address Details
Address
43 Corporate Park Ste 204
City
Irvine
State
California
Zip
92606-5137
Phone Number
714-550-0788
Fax Number
714-550-6001
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G15995 (California)
Definition
Definition to come...
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