Provider Demographics
NPI:1215068101
Name:CENTURY NEUROLOGICAL INC
Entity type:Organization
Organization Name:CENTURY NEUROLOGICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COLL MGR
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:CASTINO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:800-998-9777
Mailing Address - Street 1:1925 CENTURY PARK E
Mailing Address - Street 2:SUITE 500
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2701
Mailing Address - Country:US
Mailing Address - Phone:310-601-6777
Mailing Address - Fax:
Practice Address - Street 1:1925 CENTURY PARK E
Practice Address - Street 2:SUITE 500
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2701
Practice Address - Country:US
Practice Address - Phone:310-601-6777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty