Provider Demographics
NPI:1346625449
Name:ADVANCED NEUROSURGICAL INSTITUTE
Entity Type:Organization
Organization Name:ADVANCED NEUROSURGICAL INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROSURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:PEYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TABRIZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-834-0439
Mailing Address - Street 1:999 N TUSTIN AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3528
Mailing Address - Country:US
Mailing Address - Phone:714-834-0439
Mailing Address - Fax:714-834-1076
Practice Address - Street 1:1441 CONSTITUTION BLVD
Practice Address - Street 2:BLDG 300
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3100
Practice Address - Country:US
Practice Address - Phone:831-783-2506
Practice Address - Fax:831-755-6297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63188207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty