St. Michael'S Neurology Medical Corp

LBN: St. Michael'S Neurology Medical Corp
St. Michael'S Neurology Medical Corp is an health care organization with primary practice located at 1141 W Redondo Beach Blvd Suite 207, Gardena CA 90247-3586. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. St. Michael'S Neurology Medical Corp can be contacted via phone (310) 225-5599, or through Dimyan, Sherif A via phone (310) 225-5599.

Contact Information

Primary practice address
1141 W Redondo Beach Blvd Suite 207 Gardena CA 90247-3586
Phone: (310) 225-5599
Fax: (310) 225-5660
Website:
Map and Directions
Authorized official contact:
Name: Dimyan, Sherif A Doctor of Osteopathy (DO)
Phone: (310) 225-5599

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 20A6410 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 20A6140 California
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 20A6410 California
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 20A6410 California
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 20A6410 California
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 20A6410 California

Profile Details

NPI number 1942334958
LBN Legal business name St. Michael'S Neurology Medical Corp
DBA Doing business as
Authorized official Dimyan, Sherif A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Mar 10th, 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 1942334958 NPPES
California MEDICAID 00AX6461
California Other 20A6410

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