Abea Neurodiagnostics

NPI 1104264035 - Physiological Laboratory - 293D00000X

NPI Details
NPI 1104264035
Enumeration Date 06/13/2013
Last Updated 06/13/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DORMEL M DORMEL
Position PRESIDENT CEO
Phone (909) 394-6100
Fax (909) 394-6117
Practice Location
5300 ORANGE AVE
SUITE 202
CYPRESS CA, 90630-2959, US
Phone (909) 394-6100
Fax (909) 394-6117
Business Location
10460 ROSE ANN CIR
CYPRESS CA, 90630-4359, US
Phone (909) 394-6100
Fax (909) 394-6117
Toxanomy
Taxonomy Code 293D00000X
License State California
License Number 1461
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According to our database, Abea Neurodiagnostics NPI is 1104264035, taxonomy code is 293D00000X and license number is 1461, license state is located at California. Abea Neurodiagnostics physically located at 5300 Orange Ave, Cypress CA, 90630-2959. NPI Number 1033115704 has the healthcare provider type.

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1104264035 NPI number is provided on an as is basis without warranty of any kind. 1104264035 is maintained by the National Plan & Provider Enumeration System. The contents of Abea Neurodiagnostics are for informational purposes only.