| Tbi Virtual | |
|
3750 Convoy St Ste 301 San Diego CA 92111-3741 | |
| (866) 551-0080 | |
| Not Available |
| Full Name | Tbi Virtual |
|---|---|
| Speciality | Psychiatry & Neurology - Brain Injury Medicine |
| Location | 3750 Convoy St Ste 301, San Diego, California |
| Authorized Official Name and Position | Hamid Djalilian (CHIEF MEDICAL ADVISOR) |
| Authorized Official Contact | 8665510080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tbi Virtual 3750 Convoy St Ste 301 San Diego CA 92111-3741 Ph: (866) 551-0080 | Tbi Virtual 3750 Convoy St Ste 301 San Diego CA 92111-3741 Ph: (866) 551-0080 |
| NPI Number | 1437833779 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437833779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0301X | Psychiatry & Neurology - Brain Injury Medicine | (* (Not Available)) | Primary |
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