Neuromed Electrodiagnostic Inc

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

G64157 Issued in CA

Legal business name

NEUROMED ELECTRODIAGNOSTIC INC

Practice address

2501 W Burbank Blvd
300
Burbank, CA 91505-2347

Phone

(818) 557-6455

Fax

(818) 557-6491

NPI assigned

Oct 26, 2006

Last updated

Oct 4, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alfred Keshishians

Title

Owner Ceo

Phone

(818) 557-6455

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1033294038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W BURBANK BLVD",
            "address_2": "300",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052347",
            "telephone_number": "818-557-6455",
            "fax_number": "818-557-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BURBANK BLVD",
            "address_2": "300",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052347",
            "telephone_number": "818-557-6455",
            "fax_number": "818-557-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMED ELECTRODIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "KESHISHIANS",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "818-557-6455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "CA",
            "license": "G64157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Burbank, CA
• Providers in Burbank, CA by specialty
• Electroneurodiagnostic Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.