Quality Neuro Supply LLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

ME94218 Issued in FL

Legal business name

QUALITY NEURO SUPPLY LLC

Doing business as

QUALITY NEUROMONITORING

Practice address

2201 W Broadway
Suite B201
Anaheim, CA 92804-2374

Phone

(818) 600-1572

Fax

(877) 625-7254

NPI assigned

Nov 27, 2012

Organization subpart

No

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

Authorized official

Name

Julio Cantero, M.D.

Title

Managing Partner

Phone

(818) 600-1572

Specialties & licenses 2

Addresses

Other names 1

• QUALITY NEUROMONITORING Doing business as

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1144564477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2864",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928140864",
            "telephone_number": "818-600-1572",
            "fax_number": "877-625-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W BROADWAY",
            "address_2": "SUITE B201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042374",
            "telephone_number": "818-600-1572",
            "fax_number": "877-625-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY NEURO SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "CANTERO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "818-600-1572",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "FL",
            "license": "ME94218",
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "2124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALITY NEUROMONITORING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Neurophysiology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Clinical Neurophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.