Antelope Valley Neuroscience
LBN: Antelope Valley Neuroscience
Antelope Valley Neuroscience is an health care organization with primary practice located at 42135 10Th St W Suite 301, Lancaster CA 93534-7095. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neurology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Antelope Valley Neuroscience can be contacted via phone (661) 945-6931, or through Farrukh, Abdallah S via phone (661) 945-6931.
Contact Information
Primary practice address
42135 10Th St W Suite 301
Lancaster CA 93534-7095
Phone: (661) 945-6931
Fax: (661) 945-4592
Website:
Authorized official contact:
Name: Farrukh, Abdallah S Doctor of Medicine (MD)
Phone: (661) 945-6931
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP20677 | California |
Profile Details
| NPI number | 1114912979 |
|---|---|
| LBN Legal business name | Antelope Valley Neuroscience |
| DBA Doing business as | |
| Authorized official | Farrukh, Abdallah S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Oct 7th, 2014 - about 10 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 | 1114912979 | NPPES |
| California | MEDICAID | ZZZ83620Z |
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