Southern California Movement Disorder Sepcialists is a Neurology Clinic in Pasadena, California. It is located at 65 N Madison Ave, Suite 410, Pasadena, CA and its contact number is 626-792-6683. The authorized person for Southern California Movement Disorder Sepcialists is Dr. Jerome P Lisk
who is Physician of the clinic and his/her contact number is 940-383-1770. The primary license number for Southern California Movement Disorder Sepcialists is A88331 (Neurology) in California. Southern California Movement Disorder Sepcialists Clinic 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.
Complete Clinic Profile:
Southern California Movement Disorder Sepcialists Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southern California Movement Disorder Sepcialists
Specialization:
Neurology
Clinic Address:
65 N Madison Ave, Suite 410, Pasadena, California, 91101-2035
Phone:
626-792-6683
Fax:
626-793-5475
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jerome P Lisk
Position:
Physician
Contact Number:
940-383-1770
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southern California Movement Disorder Sepcialists clinic are as mentioned below.
NPI Number:
1598952616
NPI Enumeration Date:
02 Oct, 2007
NPI Last Update On:
29 Mar, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern California Movement Disorder Sepcialists are as mentioned below.
Specialization
License Number
State
Status
Neurology
A88331
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DQ9581
Other
California
Medicare Railroad
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southern California Movement Disorder Sepcialists 3120 Medark Drive, Denton, Texas
Zip:
76208-6199
Phone Number:
940-383-1770
Fax Number:
877-319-1848
Patients can reach Southern California Movement Disorder Sepcialists at 65 N Madison Ave, Suite 410, Pasadena, California or can call to book an appointment on 626-792-6683. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.