Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Flagstaff Neurology

Organization Neurology Physician · NPI 1518136241

Flagstaff Neurology is a Neurology Physician in LA Jolla, California. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008

Practice location Address checks out

4275 Executive Sq Ste 200
LA Jolla, CA 92037-1476
Phone: (619) 403-1701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 33297 (AZ)

Record details

NPI number1518136241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Panna Shah — Physiccian Owner · (619) 403-1701
NPI enumeratedFebruary 27, 2008
Last updated in NPPESAugust 21, 2012
Mailing address618 N Humphreys St, Flagstaff, AZ 86001-3024

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