Provider Demographics
NPI:1962795286
Name:NEUROTECH INC
Entity type:Organization
Organization Name:NEUROTECH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:YASKO
Authorized Official - Suffix:
Authorized Official - Credentials:R EEG T, RPSGT
Authorized Official - Phone:424-781-7180
Mailing Address - Street 1:2400 LINCOLN AVE
Mailing Address - Street 2:SUITE 153
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-5436
Mailing Address - Country:US
Mailing Address - Phone:424-781-7180
Mailing Address - Fax:
Practice Address - Street 1:26033 GETTY DR UNIT 222
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-0965
Practice Address - Country:US
Practice Address - Phone:424-781-7180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier