Organization Name: | SAN DIEGO NERVE STUDY CENTER |
NPI Number: | 1811154073 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JONATHAN ALBERT SCHLEIMER (OWNER) |
Mailing Address: | 9850 Genesee Avenue #750 La Jolla |
State: | CA US |
Postal Code: | 92037 |
Phone Number: | 8585541644 |
Fax Number: | 8585541648 |
NPI Enumeration Date: | 05/16/2008 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A45882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |