Provider Demographics
NPI:1952784514
Name:L.A. NEURODIAGNOSTICSERVICES INC.
Entity Type:Organization
Organization Name:L.A. NEURODIAGNOSTICSERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IONM
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-234-8762
Mailing Address - Street 1:1124 W 90TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90044-3312
Mailing Address - Country:US
Mailing Address - Phone:213-261-1369
Mailing Address - Fax:
Practice Address - Street 1:1124 W 90TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90044-3312
Practice Address - Country:US
Practice Address - Phone:213-361-1369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital