| Brainlab Medical | |
|
27509 Agoura Rd Ste 205 Agoura Hills CA 91301-5149 | |
| (503) 791-3205 | |
| Not Available |
| Full Name | Brainlab Medical |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 27509 Agoura Rd Ste 205, Agoura Hills, California |
| Authorized Official Name and Position | Abraham Malkin (PROVIDER) |
| Authorized Official Contact | 8188397556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainlab Medical 27489 Agoura Rd Ste 101 Agoura Hills CA 91301-2481 Ph: () - | Brainlab Medical 27509 Agoura Rd Ste 205 Agoura Hills CA 91301-5149 Ph: (503) 791-3205 |
| NPI Number | 1023757275 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023757275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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