Neurosurgical Trauma Services

LBN: Neurosurgical Trauma Services
Neurosurgical Trauma Services is an health care organization with primary practice located at 1301 Secret Ravine Pkwy Ste 200, Roseville CA 95661-3096. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Neurosurgical Trauma Services can be contacted via phone (916) 771-3393, or through Chehrazi, Bahram via phone (916) 771-3393.

Contact Information

Primary practice address
1301 Secret Ravine Pkwy Ste 200 Roseville CA 95661-3096
Phone: (916) 771-3393
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chehrazi, Bahram Doctor of Medicine (MD)
Phone: (916) 771-3393

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1104963834
LBN Legal business name Neurosurgical Trauma Services
DBA Doing business as
Authorized official Chehrazi, Bahram Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Dec 31st, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104963834 NPPES
California MEDICAID GR0070590
California Other ZZZ49984Z

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