Southern California Neurology and Psychiatry
NPI #1114271665 in La Jolla, California
Provider Information
- NPI Number
- 1114271665
- Entity Type
- Organization
- Organization Name
- Southern California Neurology and Psychiatry
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Nov 6, 2012
- Last Updated
- Nov 6, 2012
Practice Location
- Address
- 4275 EXECUTIVE SQ STE 200
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1476
- Phone
- (619) 403-1701
Authorized Official
- Name
- PANNA RAMANLAL SHAH, MD
- Title
- PHYSICIAN
- Phone
- (619) 403-1701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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