Neurorescue, a Professional Medical
Neurorescue, a Professional Medical is an Emergency Medical Services (Emergency Medicine) Physician in Fountain Valley, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 8
Practice location Address checks out
18111 Brookhurst St 5800Fountain Valley, CA 92708-6728
Phone: (714) 443-0011
Fax: (949) 284-0604
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurological Surgery Physician (primary) | Taxonomy 207T00000X · Licence A66315 (CA) |
|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | Taxonomy 207PE0004X · Licence A66315 (CA) |
| Critical Care Medicine (Internal Medicine) Physician | Taxonomy 207RC0200X · Licence A66315 (CA) |
| Neurology Physician | Taxonomy 2084N0400X · Licence A66315 (CA) |
| Vascular Neurology Physician | Taxonomy 2084V0102X · Licence A66315 (CA) |
| Neuroradiology Physician | Taxonomy 2085N0700X · Licence A66315 (CA) |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence A66315 (CA) |
| Interventional Pain Medicine Physician | Taxonomy 208VP0014X · Licence A66315 (CA) |
Record details
| NPI number | 1073874970 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mian Shah — President · (714) 443-0011 |
| Other names | Southern California Neurorescue Specialists |
| NPI enumerated | June 6, 2012 |
| Last updated in NPPES | December 8, 2015 |
| Mailing address | 2200 Collier Ct, Tustin, CA 92782-1525 |