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

Southern California Neurology and Psychiatry

Organization Neurology Physician · NPI 1114271665

Southern California Neurology and Psychiatry is a Neurology Physician in LA Jolla, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

4275 Executive Sq Ste 200
LA Jolla, CA 92037-1476
Phone: (619) 403-1701
Fax: (619) 810-2863
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence C53290 (CA)

Record details

NPI number1114271665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Panna Shah — Physician · (619) 403-1701
NPI enumeratedNovember 6, 2012
Last updated in NPPESNovember 6, 2012
Mailing address1212 San Dieguito Dr, Encinitas, CA 92024-5115

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