PRIME NEUROLOGY, INC. – NPI #1770906836
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.

PRIME NEUROLOGY, INC. is a psychiatry & neurologist located in ENCINO, CA. NPPES has assigned the NPI number 1770906836 to PRIME NEUROLOGY, INC. on January 27, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 7 years ago on Jul 01, 2019. 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 PRIME NEUROLOGY, INC. below.

NPI Profile for
PRIME NEUROLOGY, INC.

NPI Number
1770906836
Enumeration Date

(more than 12 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
PRIME NEUROLOGY, INC.
Primary location
16350 VENTURA BLVD STE D323
ENCINO, CA 91436
Phone: (888) 618-5288 Fax: (888) 618-5288
1 Other location(s):
14724 Ventura Blvd
Suite 420
Sherman Oaks, CA 91403-3501
Phone: (888) 618-5288
Fax: (818) 305-5663
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIMBERLY IDOKO
CEO
Phone: (888) 618-5288
Updated
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)

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.