| NPI | 1720372261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOC T LEU President 714-630-3195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: CA 57) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: CA 551) |
| 246ZE0500X Specialist/Technologist, Other, EEG (Licence: CA 2656) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2017-06-12 |