Provider Demographics
NPI:1134549975
Name:NEUROLOGY FIRST
Entity type:Organization
Organization Name:NEUROLOGY FIRST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AZIZ
Authorized Official - Middle Name:NOOR
Authorized Official - Last Name:ANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-580-1018
Mailing Address - Street 1:838 NORDAHL RD STE 310
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-3599
Mailing Address - Country:US
Mailing Address - Phone:442-999-5977
Mailing Address - Fax:442-999-5914
Practice Address - Street 1:838 NORDAHL RD STE 310
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-3599
Practice Address - Country:US
Practice Address - Phone:442-999-5977
Practice Address - Fax:442-999-5914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-20
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1180002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty