Infoneuro Group, a Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A72928 Issued in CA

Legal business name

INFONEURO GROUP, A MEDICAL CORPORATION

Practice address

415 N Crescent Dr Ste 220
Beverly Hills, CA 90210-6810

Phone

(909) 567-0600

Fax

(909) 597-0655

NPI assigned

Mar 6, 2008

Last updated

Jan 10, 2017By 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

Gil A Galliguez

Title

Billing Manager

Phone

(909) 597-0600

Specialties & licenses 1

Addresses

Other names 1

• INFONEURO GROUP, A MEDICAL CORPORATION Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gladys Anne Happer, NP

  • Family Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1912160623
  NPD (past)
• John Ogai, MD

  • Pain Medicine (Anesthesiology) Physician
  • Anaheim, CA
  • NPI 1568563690
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1407026354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12843",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902953843",
            "telephone_number": "909-597-0600",
            "fax_number": "909-597-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR STE 220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106810",
            "telephone_number": "909-567-0600",
            "fax_number": "909-597-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFONEURO GROUP, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "GALLIGUEZ",
        "authorized_official_first_name": "GIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "909-597-0600"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A72928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INFONEURO GROUP, A MEDICAL CORPORATION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Marguerite Elizabeth Ingham, M.A.
• Jacqueline Marie Ingle, M.S.
• Eric B Ingulsrud, MD
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• Innova Surgery Center, LLC

• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.