Brandon Adam Gaines, MSOM, LAC is a
Counselor - Addiction (substance Use Disorder) based in Los Angeles, California. Brandon Adam Gaines is licensed to practice in California (license number ) and his current practice location is
1454 S Crest Dr, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(818) 961-4046.
NPI number for Brandon Adam Gaines is 1295759199 and his current mailing address is 1454 S Crest Dr, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295759199.
Healthcare Provider's Profile
| Full Name | Brandon Adam Gaines |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 1454 S Crest Dr, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295759199
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 02/15/2018
Medical Identifiers
Medical identifiers for Brandon Adam Gaines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295759199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC 10786 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon Adam Gaines is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brandon Adam Gaines, MSOM, LAC
1454 S Crest Dr,
Los Angeles, CA 90035-3312
Ph: (818) 961-4046 | Brandon Adam Gaines, MSOM, LAC
1454 S Crest Dr,
Los Angeles, CA 90035-3312
Ph: (818) 961-4046 |
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