REDWOOD MEDICAL, PC


Address: 2785 Pacific Coast Hwy Ste E-364, Torrance, CA 90505-7066
Phone: 3107500989

REDWOOD MEDICAL, PC (NPI# 1912561622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912561622
Entity Type Organization
Organization Name REDWOOD MEDICAL, PC
Practice Address 2785 Pacific Coast Hwy Ste E-364
Torrance
CA 90505-7066
Practice Telephone 3107500989
Enumeration Date 2019-04-29
Last Update Date 2019-04-29
Authorized Official Name BRENDA THIELE (MDMS NPI COMPLIANCE OFFICER)
Authorized Official Telephone 2105982800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204R00000X Electrodiagnostic Medicine Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
N 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
Technologists, Technicians & Other Technical Service Providers
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 2785 PACIFIC COAST HWY STE E-364
City TORRANCE
State CA
Zip Code 90505-7066

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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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Competitor

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City TORRANCE
Zip Code 90505

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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