St Michael's Neurology Medical Corp
St Michael's Neurology Medical Corp is a Neuromusculoskeletal Medicine & OMM Physician in Gardena, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 6
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1141 W Redondo Beach Blvd Ste 207Gardena, CA 90247-3586
Phone: (310) 225-5599
Fax: (310) 225-5660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X · Licence 20A6140 (CA) |
|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | Taxonomy 204D00000X · Licence 20A6410 (CA) |
| Clinical Neurophysiology Physician | Taxonomy 2084N0600X · Licence 20A6410 (CA) |
| Pain Medicine (Psychiatry & Neurology) Physician | Taxonomy 2084P2900X · Licence 20A6410 (CA) |
| Sleep Medicine (Psychiatry & Neurology) Physician | Taxonomy 2084S0012X · Licence 20A6410 (CA) |
| Vascular Neurology Physician | Taxonomy 2084V0102X · Licence 20A6410 (CA) |
Record details
| NPI number | 1942334958 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sherif Dimyan — President · (310) 225-5599 |
| NPI enumerated | March 15, 2007 |
| Last updated in NPPES | March 10, 2009 |
| Mailing address | 1141 W Redondo Beach Blvd, Suite 207, Gardena, CA 90247-3586 |
Other providers in Gardena
-
Dr. Philip Lloyd Creps, DO
1225 W 190th St Ste 280, Gardena, CA 90248-4305 · (310) 515-8113