Southern California Movement Disorder Sepcialists
LBN: Jerome P. Lisk, M.D., Inc.
Southern California Movement Disorder Sepcialists is an health care organization with primary practice located at 65 N Madison Ave Suite 410, Pasadena CA 91101-2035. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty.
Jerome P. Lisk, M.D., Inc. can be contacted via phone (626) 792-6683, or through Lisk, Jerome P via phone (940) 383-1770.
Contact Information
Primary practice address
65 N Madison Ave Suite 410
Pasadena CA 91101-2035
Phone: (626) 792-6683
Fax: (626) 793-5475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A88331 | California |
Profile Details
| NPI number | 1598952616 |
|---|---|
| LBN Legal business name | Jerome P. Lisk, M.D., Inc. |
| DBA Doing business as | Southern California Movement Disorder Sepcialists |
| Authorized official | Lisk, Jerome P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | Mar 29th, 2021 - about 3 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 | 1598952616 | NPPES |
| California | Other | DQ9581 | MEDICARE RAILROAD |
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