PEDIATRIC NEUROLOGY THERAPEUTICS PC
NPI 1801288535
Clinic/Center - Health Service in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

Active since March 04, 2015CLIA 05D2274367 · Waiver

6160 CORNERSTONE CT E STE 100, SAN DIEGO, CA 92121(858) 758-7842(858) 952-0502 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 27, 2024, Nov 13, 2023, Nov 6, 2023 and 3 more (6 updates tracked since 2019).

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Locations
Authorized Official
CLIA Information
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Health Service
CLIA Number: 05D2274367
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 01-02-2027

About PEDIATRIC NEUROLOGY THERAPEUTICS PC

This page provides the complete NPI Profile along with additional information for Pediatric Neurology Therapeutics Pc, a provider established in San Diego, California operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1801288535 assigned on March 2015. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Pediatric Neurology Therapeutics Pc. The authorized official of this NPI record is Dr. Suzanne Goh M.d. (Owner)

NPI: 1801288535 Verify this NPI
Provider Legal Name: CORTICA HEALTHCARE INC
Other Organization Name: PEDIATRIC NEUROLOGY THERAPEUTICS PC
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 6160 CORNERSTONE CT E STE 100 SAN DIEGO, CA 92121
Location Phone: (858) 758-7842
Location Fax: (858) 952-0502
Mailing Address: 6160 CORNERSTONE CT E STE 100 SAN DIEGO, CA 92121
Mailing Phone: (858) 216-8837
Mailing Fax: (888) 383-0040
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-04-2015
Last Update Date: 12-27-2024
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Location Map

Secondary Locations

2625 Townsgate Rd Ste 102
Westlake Village, CA 91361
(805) 413-3009
21515 Hawthorne Blvd Ste Gl-100
Torrance, CA 90503
(424) 571-2618
1320 Willow Pass Rd Ste 660
Concord, CA 94520
(925) 494-9039
4000 Civic Center Dr Ste 100
San Rafael, CA 94903
(628) 877-0040
611 N Brand Blvd Ste 100
Glendale, CA 91203
(747) 286-2600
5870 El Camino Real Ste 101
Carlsbad, CA 92008
(760) 539-5818
2500 Redhill Ave Ste 100
Santa Ana, CA 92705
(949) 748-8571
30131 Town Center Dr Ste 135
Laguna Niguel, CA 92677
(949) 594-4455

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Health Service
Taxonomy Code: 261QH0100X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. SUZANNE GOH M.D.
Authorized Official Title: OWNER
Authorized Official Phone: (858) 216-8837

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 05D2274367
Facility Type: Physician Office
Certificate Effective Date: January 03, 2025
Certificate Expiration Date: January 02, 2027
Laboratory Director: KEVIN A. SHAPIRO
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Pediatric Neurology Therapeutics Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.