Provider Demographics
NPI:1376240077
Name:EEG EXPRESS INC.
Entity Type:Organization
Organization Name:EEG EXPRESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-336-6262
Mailing Address - Street 1:2872 YGNACIO VALLEY RD # 244
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3534
Mailing Address - Country:US
Mailing Address - Phone:818-336-6262
Mailing Address - Fax:818-362-1295
Practice Address - Street 1:2872 YGNACIO VALLEY RD # 244
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3534
Practice Address - Country:US
Practice Address - Phone:818-336-6262
Practice Address - Fax:818-362-1295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084D0003XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyDiagnostic NeuroimagingGroup - Single Specialty