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CENTER FOR NEUROHEALTH INC NPI 1154864874


NPI Information

NPI: 1154864874
Provider Name: CENTER FOR NEUROHEALTH INC

Doing Business As: KAIZEN BRAIN CENTER

Classification: Psychiatry & Neurology - 2084B0040X
Entity Type: Organization

Specialization: Behavioral Neurology & Neuropsychiatry

CLIA Number: 05D2225377

Address:
4180 LA JOLLA VILLAGE DR STE 240
LA JOLLA, CA
ZIP 92037
Phone: (866) 277-2659
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CENTER FOR NEUROHEALTH INC is a behavioral neurology and neuropsychiatry psychiatry neurology in La Jolla, CA. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. CENTER FOR NEUROHEALTH INC NPI is 1154864874. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kaizen Brain Center.

The provider's business location address is:

4180 LA JOLLA VILLAGE DR STE 240
LA JOLLA, CA
ZIP 92037
Phone: (866) 277-2659
Fax: (858) 779-2511

The provider's authorized official is Mohammed Muzammil Ahmed .
The authorized official title is Owner and has the following contact phone number (214) 893-0542.

The CLIA number assigned to this NPI record is 05D2225377 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2016 and was last updated on 8/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryA124696CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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