Neuro Dynamics

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

NEURO DYNAMICS

Practice address

16837 Los Alimos St
Granada Hills, CA 91344-5054

Phone

(310) 497-3168

Fax

(818) 955-5788

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Federick Smith

Title

Ceo

Phone

(310) 497-3168

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1194064360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16837 LOS ALIMOS ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445054",
            "telephone_number": "310-497-3168",
            "fax_number": "818-955-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16837 LOS ALIMOS ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445054",
            "telephone_number": "310-497-3168",
            "fax_number": "818-955-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FEDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-497-3168"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Technologist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Surgical Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.