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BRAIN INITIATIVE NPI 1174217087


NPI Information

NPI: 1174217087
Provider Name: BRAIN INITIATIVE
Classification: Psychiatry & Neurology - 2084B0040X
Entity Type: Organization

Specialization: Behavioral Neurology & Neuropsychiatry

Address:
2501 N CATALINA AVE.
UNITE 3418
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 710-2458
Get Directions

BRAIN INITIATIVE is a behavioral neurology and neuropsychiatry psychiatry neurology in Redondo Beach, CA. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. BRAIN INITIATIVE NPI is 1174217087. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2501 N CATALINA AVE.
UNITE 3418
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 710-2458

The provider's authorized official is Dean Sherzai .
The authorized official title is Doctor and has the following contact phone number (949) 383-6729.

The enumeration date for this NPI number is 6/5/2023 and was last updated on 6/5/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralNo
2207LP2900XAnesthesiologyPain MedicineNo
32083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineNo
42083S0010XPreventive MedicineSports MedicineNo
52084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
62084S0012XPsychiatry & NeurologySleep MedicineNo
72085D0003XRadiologyDiagnostic NeuroimagingNo
82084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryYes

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: 5/5/2024

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