Provider Demographics
NPI:1538901574
Name:PAHK NEUROLOGY
Entity type:Organization
Organization Name:PAHK NEUROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAHK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-888-9596
Mailing Address - Street 1:10021 TABOR ST APT 102
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-4983
Mailing Address - Country:US
Mailing Address - Phone:424-320-6201
Mailing Address - Fax:
Practice Address - Street 1:10021 TABOR ST APT 102
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-4983
Practice Address - Country:US
Practice Address - Phone:424-320-6201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty