Provider Demographics
NPI:1376967422
Name:THE NEUROLOGY GROUP INC
Entity Type:Organization
Organization Name:THE NEUROLOGY GROUP INC
Other - Org Name:THE NEUROLOGY GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:M
Authorized Official - Last Name:QAZI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:909-267-7495
Mailing Address - Street 1:2895 N TOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2009
Mailing Address - Country:US
Mailing Address - Phone:909-267-7495
Mailing Address - Fax:
Practice Address - Street 1:2895 N TOWNE AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2009
Practice Address - Country:US
Practice Address - Phone:909-267-7495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty