Provider Demographics
NPI:1336492800
Name:REAL TIME NEUROMONITORING ASSOCIATES OF CA PC
Entity Type:Organization
Organization Name:REAL TIME NEUROMONITORING ASSOCIATES OF CA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ROZIER
Authorized Official - Last Name:LEE
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:615-346-8182
Mailing Address - Street 1:336 22ND AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1844
Mailing Address - Country:US
Mailing Address - Phone:615-346-8182
Mailing Address - Fax:
Practice Address - Street 1:99 SOUTH ALMADEN BLVD
Practice Address - Street 2:STE 600
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95113
Practice Address - Country:US
Practice Address - Phone:615-346-8182
Practice Address - Fax:877-870-7862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty