Innovative Neurology, Inc.
NPI #1104434075 in Murrieta, California
Provider Information
- NPI Number
- 1104434075
- Entity Type
- Organization
- Organization Name
- Innovative Neurology, Inc.
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jul 16, 2020
- Last Updated
- Feb 15, 2021
Practice Location
- Address
- 24671 MONROE AVE # C102
- City
- Murrieta
- State
- California
- ZIP Code
- 92562-9589
- Phone
- (951) 797-4446
Authorized Official
- Name
- JANICE RAQUEL FUENTES, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (619) 306-1127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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