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INNOVATIVE NEUROLOGY
NPI 1104434075
Psychiatry & Neurology - Neurology in Murrieta, CA

Active since July 16, 2020
24671 MONROE AVE # C102, MURRIETA, CA 92562(951) 797-4446(833) 989-2495 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 15, 2021, Jul 16, 2020 (2 updates tracked since 2020).

About Innovative Neurology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE NEUROLOGY (NPI 1104434075) is a healthcare organization registered as a neurology in Murrieta, California and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Murrieta and lists Janice Raquel Fuentes, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104434075
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameINNOVATIVE NEUROLOGY, INC.
Location Address24671 MONROE AVE # C102Murrieta, CA 92562-9589
Mailing Address24671 Monroe Ave # C102Murrieta, CA 92562-9589 · (951) 797-4446 · Fax (833) 989-2495
Phone(951) 797-4446
Fax(833) 989-2495
Organization SubpartNo
Authorized OfficialJanice Raquel FuentesAuthorized Official · (619) 306-1127
Enumeration DateJuly 16, 2020
Last NPPES UpdateFebruary 15, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
✔ NPI 1104434075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
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.
24671 MONROE AVE # C102, Murrieta, CA 92562
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Other Names 1

Other NameInnovative Neurology

Secondary Practice Location 1

Location 138860 Sky Canyon Dr Bldg AMurrieta, CA 92563-2518 · Phone (442) 777-5920 · Fax (951) 466-2744

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE RAQUEL FUENTES MD
Psychiatry & Neurology (Neurology)
24671 MONROE AVE # C102
MURRIETA, CA 92562
Riverside County (951) 797-4446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Neurology, Inc.'s NPI number?

The NPI number for Innovative Neurology, Inc. is 1104434075. It was assigned to this organization in the NPPES registry on July 16, 2020. The provider is also known as Innovative Neurology.

Where is Innovative Neurology, Inc. located?

Innovative Neurology, Inc. is located at 24671 Monroe Ave # C102, Murrieta, CA 92562. The listed phone number is (951) 797-4446.

What is Innovative Neurology, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Innovative Neurology, Inc. was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.