BRILLIANT PHYSICIAN SERVICES NPI 1972268316

NPI Information

NPI: 1972268316
Provider Name: BRILLIANT PHYSICIAN SERVICES
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
79353 CALLE VISTA VERDE
LA QUINTA, CA
ZIP 92253
Phone: (818) 441-2177
Get Directions

BRILLIANT PHYSICIAN SERVICES is an addiction medicine family medicine in La Quinta, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. BRILLIANT PHYSICIAN SERVICES NPI is 1972268316. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

79353 CALLE VISTA VERDE
LA QUINTA, CA
ZIP 92253-950
Phone: (818) 441-2177

The provider's authorized official is Martin Arayikovich Sahakyan .
The authorized official title is Ceo and has the following contact phone number (818) 441-2177.

The enumeration date for this NPI number is 11/1/2021 and was last updated on 11/1/2021.

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
1	207QA0401X	Family Medicine	Addiction Medicine			Yes

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: 4/28/2024

NPI Synchronization or Removal

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