Provider Demographics
NPI:1679921910
Name:WESTERN NEUROSCIENCE, INC.
Entity Type:Organization
Organization Name:WESTERN NEUROSCIENCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-788-0910
Mailing Address - Street 1:3639 HARBOR BLVD
Mailing Address - Street 2:STE 215
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-4275
Mailing Address - Country:US
Mailing Address - Phone:818-788-0910
Mailing Address - Fax:888-959-0337
Practice Address - Street 1:3639 HARBOR BLVD
Practice Address - Street 2:STE 215
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-4275
Practice Address - Country:US
Practice Address - Phone:818-788-0910
Practice Address - Fax:888-959-0337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies