| Brain Power Psychology Inc. | |
|
2444 Wilshire Blvd Ste 202 Santa Monica CA 90403-5810 | |
| (336) 458-7992 | |
| Not Available |
| Full Name | Brain Power Psychology Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2444 Wilshire Blvd Ste 202, Santa Monica, California |
| Authorized Official Name and Position | Sourena Haj-mohamadi (OWNER) |
| Authorized Official Contact | 3364587992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Power Psychology Inc. 2444 Wilshire Blvd Ste 202 Santa Monica CA 90403-5810 Ph: (336) 458-7992 | Brain Power Psychology Inc. 2444 Wilshire Blvd Ste 202 Santa Monica CA 90403-5810 Ph: (336) 458-7992 |
| NPI Number | 1326788258 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Medicare PECOS PAC ID | 8729475553 |
|---|---|
| Medicare Enrollment ID | O20220426002954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326788258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Sourena Haj-mohamadi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386070829 PECOS PAC ID: 6002295698 Enrollment ID: I20220718002071 |
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