Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pacific Neuroscience Institute Medical Group Inc

Organization Neurological Surgery Physician · NPI 1750732533

Pacific Neuroscience Institute Medical Group Inc provides Neurological Surgery Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11645 Wilshire Boulevard 6th Fl
Los Angeles, CA 90025-6807 Not confirmed with CMS for 10 years — call before visiting
Phone: (310) 477-5558
Fax: (310) 477-7281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence FNP545334 (CA)

Record details

NPI number1750732533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Kelly — Chairman · (310) 477-5558
NPI enumeratedJune 23, 2016
Last updated in NPPESJune 23, 2016
Mailing address11645 Wilshire Boulevard, 6th Floor, Los Angeles, CA 90025-6807

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