Provider Demographics
NPI:1689781965
Name:TOWER NEUROLOGICAL SERVICES, MEDICAL CORP.
Entity Type:Organization
Organization Name:TOWER NEUROLOGICAL SERVICES, MEDICAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-659-1498
Mailing Address - Street 1:7135 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE 1206
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-3212
Mailing Address - Country:US
Mailing Address - Phone:310-659-1498
Mailing Address - Fax:310-659-1528
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-659-1498
Practice Address - Fax:310-659-1528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG821922084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA15787OtherCEDARS-SINAI HEALTH ASSC
CA1743847OtherUNITED HEALTHCARE
CAZZZ64014ZOtherBLUE SHIELD
CA7192043OtherAETNA
CA00G821920OtherMEDI-CAL
CA15787OtherCEDARS-SINAI HEALTH ASSC
CA=========AOtherHEALTH NET