L & a Neuro Inc

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

20A6632 Issued in CA

Legal business name

L & A NEURO INC

Practice address

4020 W Magnolia Blvd
E
Burbank, CA 91505-2828

Phone

(818) 567-6366

Fax

(818) 567-6367

NPI assigned

Mar 11, 2009

Organization subpart

No

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

Authorized official

Name

Miss Liliya Khytruk

Title

Ceo/President

Phone

(818) 567-6366

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1710128384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 W MAGNOLIA BLVD",
            "address_2": "E",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052828",
            "telephone_number": "818-567-6366",
            "fax_number": "818-567-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W MAGNOLIA BLVD",
            "address_2": "E",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052828",
            "telephone_number": "818-567-6366",
            "fax_number": "818-567-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & A NEURO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "KHYTRUK",
        "authorized_official_first_name": "LILIYA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-567-6366",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "CA",
            "license": "20A6632",
            "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 Mar 11, 2009; 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.