Organization Name: | CORRECTIVE NEURODIAGNOSTIC |
NPI Number: | 1619094695 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IRWIN ARLUK (MEDICAL DIRECTOR) |
Mailing Address: | 43 Corporate Park Ste 204 Irvine |
State: | CA US |
Postal Code: | 926065137 |
Phone Number: | 7145500788 |
Fax Number: | 7145506001 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G15995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |