St. Michael'S Neurology Medical Corp
LBN: St. Michael'S Neurology Medical Corp
St. Michael'S Neurology Medical Corp is an health care organization with primary practice located at 1141 W Redondo Beach Blvd Suite 207, Gardena CA 90247-3586. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
St. Michael'S Neurology Medical Corp can be contacted via phone (310) 225-5599, or through Dimyan, Sherif A via phone (310) 225-5599.
Contact Information
Primary practice address
1141 W Redondo Beach Blvd Suite 207
Gardena CA 90247-3586
Phone: (310) 225-5599
Fax: (310) 225-5660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 20A6410 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 20A6140 | California |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 20A6410 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | 20A6410 | California |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 20A6410 | California |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 20A6410 | California |
Profile Details
| NPI number | 1942334958 |
|---|---|
| LBN Legal business name | St. Michael'S Neurology Medical Corp |
| DBA Doing business as | |
| Authorized official | Dimyan, Sherif A Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Mar 10th, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942334958 | NPPES |
| California | MEDICAID | 00AX6461 | |
| California | Other | 20A6410 |
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