Neurolink Idft Company LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NEUROLINK IDFT COMPANY LLC

Practice address

600 S Lake Ave
Suite #205
Pasadena, CA 91106-3955

Phone

(888) 777-6639

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Peter T Chang

Title

President

Phone

(626) 529-1081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841301710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S LAKE AVE",
            "address_2": "SUITE #205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063955",
            "telephone_number": "888-777-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S LAKE AVE",
            "address_2": "SUITE #205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063955",
            "telephone_number": "888-777-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLINK IDFT COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-529-1081"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Apithat Netsawang
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• Neurolink Diagnostics Co. LLC.
• Neurolink Medical
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• Esmeralda Nevarez
• John Cory Nevarez
• Lisa Marie Nevarez, LVN

• Case Management Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.