Provider Demographics
NPI:1689226722
Name:CENTER NEURORESTORATION ASSOCIATES INC., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:CENTER NEURORESTORATION ASSOCIATES INC., A PROFESSIONAL CORPORATION
Other - Org Name:CENTER NEURORESTORATION ASSOCIATES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:CHENG-THAI
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-422-9226
Mailing Address - Street 1:PO BOX 1167
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1167
Mailing Address - Country:US
Mailing Address - Phone:323-422-9226
Mailing Address - Fax:
Practice Address - Street 1:5448 AVENIDA DE LOS ROBLES STE B
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291
Practice Address - Country:US
Practice Address - Phone:559-202-0282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty