| Jonathan Brand A Professional Corporation | |
|
2600 Redondo Ave Ste 500 Long Beach CA 90806-2325 | |
| (562) 304-1740 | |
| Not Available |
| Full Name | Jonathan Brand A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2600 Redondo Ave Ste 500, Long Beach, California |
| Authorized Official Name and Position | Jonathan Brand (PRESIDENT) |
| Authorized Official Contact | 4244007748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Brand A Professional Corporation Po Box 4570 Palos Verdes Peninsula CA 90274-9607 Ph: (424) 400-7748 | Jonathan Brand A Professional Corporation 2600 Redondo Ave Ste 500 Long Beach CA 90806-2325 Ph: (562) 304-1740 |
| NPI Number | 1184401861 |
|---|---|
| Provider Enumeration Date | 09/14/2023 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Medicare PECOS PAC ID | 2567808082 |
|---|---|
| Medicare Enrollment ID | O20240306004301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184401861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jonathan L Brand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548259401 PECOS PAC ID: 1456246354 Enrollment ID: I20160506002040 |
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