Provider Demographics
NPI:1932364429
Name:NEUROLOGY DIAGNOSTIC CENTERS OF ORANGE COUNTY PC
Entity Type:Organization
Organization Name:NEUROLOGY DIAGNOSTIC CENTERS OF ORANGE COUNTY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKOROWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-771-2086
Mailing Address - Street 1:1310 W STEWART DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3854
Mailing Address - Country:US
Mailing Address - Phone:714-771-2086
Mailing Address - Fax:714-771-5625
Practice Address - Street 1:1310 W STEWART DR
Practice Address - Street 2:SUITE 600
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3854
Practice Address - Country:US
Practice Address - Phone:714-771-2086
Practice Address - Fax:714-771-5625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty