Provider Demographics
NPI:1356673602
Name:TEMPLETON INSTITUTE FOR NEUROLOGY INC
Entity type:Organization
Organization Name:TEMPLETON INSTITUTE FOR NEUROLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMR
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-HARIRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-662-1813
Mailing Address - Street 1:1050 LAS TABLAS RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-9729
Mailing Address - Country:US
Mailing Address - Phone:805-434-2482
Mailing Address - Fax:805-456-7702
Practice Address - Street 1:1050 LAS TABLAS RD
Practice Address - Street 2:SUITE 10
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-9729
Practice Address - Country:US
Practice Address - Phone:805-434-2482
Practice Address - Fax:805-456-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-10
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA543962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ59625YOtherBLUE SHIELD PIN
CAZZZ59625YOtherBLUE SHIELD PIN