OrganizationActive
Surgical Neuromonitoring Service Inc
NPI 1063401461 · Health Service Psychologist · Santa Rosa, CA
Provider details
- NPI number
- 1063401461
- Entity type
- Organization
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alex Amochaev, President(707) 573-2341
- License
- PSY12851 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3005 Santa Margarita Ct
Santa Rosa, CA 95405-8205
Phone: (707) 573-2341
Fax: (707) 539-2939
Approximate (ZIP-level) locationGet directions
Mailing address
3005 Santa Margarita Ct
Santa Rosa, CA 95405-8205
Registry dates
- Enumerated
- 2005-10-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.