SOUTHERN CALIFORNIA NEUROLOGICAL MEDICAL GROUP INC – NPI #1083828263
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

SOUTHERN CALIFORNIA NEUROLOGICAL MEDICAL GROUP INC is a psychiatry & neurologist located in LOS ANGELES, CA. NPPES has assigned the NPI number 1083828263 to SOUTHERN CALIFORNIA NEUROLOGICAL MEDICAL GROUP INC on May 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHERN CALIFORNIA NEUROLOGICAL MEDICAL GROUP INC” is a dba name, the actual legal business name for this organization is STEPHEN C LEVY MD & RONALD M ANDIMAN MD. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 18 years ago on Jun 24, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN CALIFORNIA NEUROLOGICAL MEDICAL GROUP INC below.

NPI Profile for
STEPHEN C LEVY MD & RONALD M ANDIMAN MD

NPI Number
1083828263
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STEPHEN C LEVY MD & RONALD M ANDIMAN MD
Doing Business As (dba): SOUTHERN CALIFORNIA NEUROLOGICAL MEDICAL GROUP INC
Primary location
8631 W 3RD ST # 531E
LOS ANGELES, CA 90048-5901
Phone: (310) 855-7161 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RONALD ANDIMAN
PRESIDENT
Phone: (310) 855-7161
Updated
Identifiers

Identifiers for SOUTHERN CALIFORNIA NEUROLOGICAL MEDICAL GROUP INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAZZZ81481Z
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
CA W5003

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.