Provider Demographics
NPI:1972922714
Name:CORTICARE, INC.
Entity Type:Organization
Organization Name:CORTICARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-482-2334
Mailing Address - Street 1:5901 PRIESTLY DR STE 306
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-8825
Mailing Address - Country:US
Mailing Address - Phone:888-482-2334
Mailing Address - Fax:888-482-2334
Practice Address - Street 1:5901 PRIESTLY DR STE 306
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-8825
Practice Address - Country:US
Practice Address - Phone:888-482-2334
Practice Address - Fax:888-482-2334
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CORTICARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-09
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological Laboratory
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Multi-Specialty
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty