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NEUROPHYSIOLOGIC LABORATORY
NPI 1114611712
Psychiatry & Neurology - Neurology in Laguna Hills, CA

Active since June 06, 2023
24012 CALLE DE LA PLATA STE 150, LAGUNA HILLS, CA 92653(949) 837-1130(949) 587-1068 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neurophysiologic Laboratory NPPES

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

NEUROPHYSIOLOGIC LABORATORY (NPI 1114611712) is a healthcare organization registered as a neurology in Laguna Hills, California and active in the NPI registry since June 2023. The organization lists Michael W Shen, Partner, as its authorized official.

NPPES Registry Identity

NPI1114611712
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNEUROPHYSIOLOGIC LABORATORY
Location Address24012 CALLE DE LA PLATA STE 150Laguna Hills, CA 92653-3632
Mailing Address24012 Calle De La Plata Ste 150Laguna Hills, CA 92653-3632 · (949) 837-1130 · Fax (949) 587-1068
Phone(949) 837-1130
Fax(949) 587-1068
Organization SubpartNo
Authorized OfficialMichael W ShenPartner · (949) 837-1130
Enumeration DateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1114611712 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.
24012 CALLE DE LA PLATA STE 150, Laguna Hills, CA 92653
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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 2

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

DR. MATTHEW EUGENE HARRIS M.D.
Anesthesiology (Pain Medicine)
24012 CALLE DE LA PLATA STE 150
LAGUNA HILLS, CA 92653
Orange County (949) 588-7246
DR. CAROLINE G CHOAN MD
Psychiatry & Neurology (Neurology)
24012 CALLE DE LA PLATA STE 150
LAGUNA HILLS, CA 92653
Orange County (949) 837-1130

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 Neurophysiologic Laboratory's NPI number?

The NPI number for Neurophysiologic Laboratory is 1114611712. It was assigned to this organization in the NPPES registry on June 6, 2023.

Where is Neurophysiologic Laboratory located?

Neurophysiologic Laboratory is located at 24012 Calle De La Plata Ste 150, Laguna Hills, CA 92653. The listed phone number is (949) 837-1130.

What is Neurophysiologic Laboratory'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 Neurophysiologic Laboratory was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.