Provider Demographics
NPI:1831888148
Name:NORCAL NEUROSTIMULATION
Entity type:Organization
Organization Name:NORCAL NEUROSTIMULATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KSENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VORONINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-209-0533
Mailing Address - Street 1:950 GLENN DR STE 235
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3193
Mailing Address - Country:US
Mailing Address - Phone:916-209-0533
Mailing Address - Fax:916-209-4056
Practice Address - Street 1:950 GLENN DR STE 235
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630
Practice Address - Country:US
Practice Address - Phone:916-209-0533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty