Provider Demographics
NPI:1922687391
Name:SOUTH COAST NEUROLOGY INC
Entity Type:Organization
Organization Name:SOUTH COAST NEUROLOGY INC
Other - Org Name:SOUTH COAST NEUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF HUMAN RESOURCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-220-4300
Mailing Address - Street 1:2455 CALLE LINARES
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1131
Mailing Address - Country:US
Mailing Address - Phone:805-220-4300
Mailing Address - Fax:805-620-7676
Practice Address - Street 1:1919 STATE ST STE 203
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-8453
Practice Address - Country:US
Practice Address - Phone:805-220-4300
Practice Address - Fax:805-620-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Single Specialty