BRILLIANT PHYSICIAN SERVICES INC NPI 1972268316

NPI Information

  • NPI: 1972268316
  • Provider Name: BRILLIANT PHYSICIAN SERVICES INC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 51625 DESERT CLUB DR STE 208
    LA QUINTA, CA
    ZIP 92253
  • Phone: (818) 441-2177

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NPI Details

BRILLIANT PHYSICIAN SERVICES INC 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 INC 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:

51625 DESERT CLUB DR STE 208
LA QUINTA, CA
ZIP 92253-983
Phone: (818) 441-2177
Fax: (747) 300-2112

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 9/11/2025.

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
1207QA0401XFamily MedicineAddiction MedicineYes

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: 11/21/2025

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