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St. Michael'S Neurology Medical Corp

Neurology Physician in Gardena, CA · enumerated 2007 · authorized official Sherif Dimyan, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942334958

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Registry record

Entity type Organization (Type 2)
Legal business name St. Michael'S Neurology Medical Corp
Practice address 1141 W Redondo Beach Blvd, Suite 207, Gardena, CA, 90247
Fax (310) 225-5660
Enumeration date Mar 15, 2007
Last updated in NPPES Mar 10, 2009

Taxonomy & classification

204D00000X Neuromusculoskeletal Medicine & OMM Physician Allopathic & Osteopathic Physicians · License 20A6410 (CA) Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 20A6140 (CA) Primary
2084N0600X Clinical Neurophysiology Physician Allopathic & Osteopathic Physicians · License 20A6410 (CA) Secondary
2084P2900X Pain Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians · License 20A6410 (CA) Secondary
2084S0012X Sleep Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians · License 20A6410 (CA) Secondary
2084V0102X Vascular Neurology Physician Allopathic & Osteopathic Physicians · License 20A6410 (CA) Secondary

Authorized official

Name Sherif Dimyan
Title President

Other identifiers

Identifier Type State Issuer
00AX6461 Medicaid CA -
20A6410 Other CA MEDICAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is St. Michael'S Neurology Medical Corp?
St. Michael'S Neurology Medical Corp is registered in NPPES as a Neurology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-10.