JONATHAN LEONARD BRAND M.D. A MEDICAL CORPORATION NPI 1659641702

NPI Information

NPI: 1659641702
Provider Name: JONATHAN LEONARD BRAND, M.D., A MEDICAL CORPORATION
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Organization

Specialization: Addiction Psychiatry

Address:
3630 E IMPERIAL HWY
LYNWOOD, CA
ZIP 90262
Phone: (310) 701-7830
Get Directions

JONATHAN LEONARD BRAND, M.D., A MEDICAL CORPORATION is an addiction psychiatry psychiatry neurology in Lynwood, CA. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. JONATHAN LEONARD BRAND, M.D., A MEDICAL CORPORATION NPI is 1659641702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3630 E IMPERIAL HWY
LYNWOOD, CA
ZIP 90262-636
Phone: (310) 701-7830
Fax: (310) 645-5532

The provider's authorized official is Jonathan Leonard Brand .
The authorized official title is Owner and has the following contact phone number (310) 306-6150.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 2/22/2013.

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	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	G50045	CALIFORNIA	Yes
2	273R00000X	Psychiatric Unit			CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G500451	MEDICAID	CALIFORNIA
2	G50045	MEDICARE PIN	CALIFORNIA

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

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