| Brain Wellness Center Pc | |
|
3031 Tisch Way Ste 309 San Jose CA 95128-2531 | |
| (408) 740-3100 | |
| (925) 837-1112 |
| Full Name | Brain Wellness Center Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 3031 Tisch Way Ste 309, San Jose, California |
| Authorized Official Name and Position | Ali Hashemian (MANAGER) |
| Authorized Official Contact | 9258371100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Wellness Center Pc 3031 Tisch Way Ste 309 San Jose CA 95128-2531 Ph: (408) 740-3100 | Brain Wellness Center Pc 3031 Tisch Way Ste 309 San Jose CA 95128-2531 Ph: (408) 740-3100 |
| NPI Number | 1316794688 |
|---|---|
| Provider Enumeration Date | 05/03/2024 |
| Last Update Date | 05/03/2024 |
| Certification Date | 05/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316794688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
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