| Brilliant Start Wellness | |
|
15644 Pomerado Rd Ste 200 Poway CA 92064-2455 | |
| (619) 408-7976 | |
| Not Available |
| Full Name | Brilliant Start Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 15644 Pomerado Rd Ste 200, Poway, California |
| Authorized Official Name and Position | Lilyan Hassaine (PRESIDENT) |
| Authorized Official Contact | 6194087976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Start Wellness 15644 Pomerado Rd Ste 200 Poway CA 92064-2455 Ph: () - | Brilliant Start Wellness 15644 Pomerado Rd Ste 200 Poway CA 92064-2455 Ph: (619) 408-7976 |
| NPI Number | 1043859077 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 05/12/2020 |
| Certification Date | 05/12/2020 |
| Medicare PECOS PAC ID | 6608293279 |
|---|---|
| Medicare Enrollment ID | O20200827000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043859077 | NPI | - | NPPES |
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