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

Neurophysiologic Laboratory

Organization Neurology Physician · NPI 1114611712

Neurophysiologic Laboratory is a Neurology Physician in Laguna Hills, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

24012 Calle De La Plata Ste 150
Laguna Hills, CA 92653-3632
Phone: (949) 837-1130
Fax: (949) 587-1068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1114611712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Shen — Partner · (949) 837-1130
NPI enumeratedJune 6, 2023
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023
Mailing address24012 Calle De La Plata Ste 150, Laguna Hills, CA 92653-3632

Other providers in Laguna Hills