| Brain Repair | |
|
23161 Mill Creek Dr Ste 315 Laguna Hills CA 92653-7907 | |
| (949) 415-4204 | |
| Not Available |
| Full Name | Brain Repair |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 23161 Mill Creek Dr Ste 315, Laguna Hills, California |
| Authorized Official Name and Position | Douglas Pleiman (PRESIDENT) |
| Authorized Official Contact | 9494154204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Repair Po Box 1446 Lake Forest CA 92609-1446 Ph: () - | Brain Repair 23161 Mill Creek Dr Ste 315 Laguna Hills CA 92653-7907 Ph: (949) 415-4204 |
| NPI Number | 1093571200 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093571200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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