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

Pacific Neuroscience Institute Medical Group Inc

Organization Neurological Surgery Physician · NPI 1750732533

Pacific Neuroscience Institute Medical Group Inc is a Neurological Surgery Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11645 Wilshire Boulevard 6th Fl
Los Angeles, CA 90025-6807
Phone: (310) 477-5558
Fax: (310) 477-7281
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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 FNP545334 (CA)

Record details

NPI number1750732533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Kelly — Chairman · (310) 477-5558
NPI enumeratedJune 23, 2016
Last updated in NPPESJune 23, 2016
Mailing address11645 Wilshire Boulevard, 6th Floor, Los Angeles, CA 90025-6807

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