| Brainthrive Pc | |
|
32123 Lindero Canyon Rd Ste 210 Westlake Village CA 91361-5461 | |
| (818) 877-7000 | |
| (818) 877-7001 |
| Full Name | Brainthrive Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 32123 Lindero Canyon Rd Ste 210, Westlake Village, California |
| Authorized Official Name and Position | Yul Rapoport (SUPERVISING NEUROLOGIST) |
| Authorized Official Contact | 8188777000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainthrive Pc 32123 Lindero Canyon Rd Ste 210 Westlake Village CA 91361-5461 Ph: (818) 877-7000 | Brainthrive Pc 32123 Lindero Canyon Rd Ste 210 Westlake Village CA 91361-5461 Ph: (818) 877-7000 |
| NPI Number | 1811472202 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Medicare PECOS PAC ID | 2062763311 |
|---|---|
| Medicare Enrollment ID | O20180925003342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811472202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Yul Rapoport |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699935080 PECOS PAC ID: 6507080041 Enrollment ID: I20180518000812 |
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