| Brain Longevity Center | |
|
2100 Lynn Rd Ste 230 Thousand Oaks CA 91360-8035 | |
| (805) 497-4500 | |
| (805) 495-1717 |
| Full Name | Brain Longevity Center |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2100 Lynn Rd Ste 230, Thousand Oaks, California |
| Authorized Official Name and Position | Lorne Sheldon Label (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8054974500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Longevity Center 2100 Lynn Rd Ste 230 Thousand Oaks CA 91360-8035 Ph: (805) 497-4500 | Brain Longevity Center 2100 Lynn Rd Ste 230 Thousand Oaks CA 91360-8035 Ph: (805) 497-4500 |
| NPI Number | 1750503603 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 07/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750503603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G47623 (California) | Primary |
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