Provider Demographics
NPI:1558795021
Name:ARGUS NEUROLOGY CORPORATION
Entity Type:Organization
Organization Name:ARGUS NEUROLOGY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDINE
Authorized Official - Middle Name:GABRIELLA
Authorized Official - Last Name:DUTARET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-334-1482
Mailing Address - Street 1:6925 FAIRVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-1829
Mailing Address - Country:US
Mailing Address - Phone:510-334-1482
Mailing Address - Fax:
Practice Address - Street 1:6925 FAIRVIEW DR
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-1829
Practice Address - Country:US
Practice Address - Phone:510-334-1482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-02
Last Update Date:2013-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG803572084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G803570Medicaid
CAG49674Medicare UPIN